Dr Gary Mannheimer, OD | |
2795 Pearl St Ste 100, Boulder, CO 80302-3826 | |
(720) 680-0225 | |
(720) 680-0225 |
Full Name | Dr Gary Mannheimer |
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Gender | Male |
Speciality | Optometrist |
Location | 2795 Pearl St Ste 100, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881674224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3088 (Colorado) | Secondary |
152W00000X | Optometrist | 0618000629 (Virginia) | Primary |
152W00000X | Optometrist | OPT.0003088 (Colorado) | Secondary |
Provider Name | Family First Vision Care Colorado Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952827750 PECOS PAC ID: 4183983539 Enrollment ID: O20180315001091 |
Mailing Address | Practice Location Address |
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Dr Gary Mannheimer, OD 12620 Zenobia St, Broomfield, CO 80020-5702 Ph: () - | Dr Gary Mannheimer, OD 2795 Pearl St Ste 100, Boulder, CO 80302-3826 Ph: (720) 680-0225 |
Briana Renee Lovell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1855 29th St # 1e-1156, Boulder, CO 80301 Phone: 720-565-0445 | |
Matthew L Tripp, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2800 Folsom St Ste C, Boulder, CO 80304 Phone: 303-442-6260 Fax: 303-447-0792 | |
Lawrence Fluss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5305 Spine Rd Ste B, Boulder, CO 80301 Phone: 303-530-2020 | |
William B Britt Optometrist Medicare: Not Enrolled in Medicare Practice Location: 805 S Broadway St, Ste 101, Boulder, CO 80305 Phone: 303-494-4449 Fax: 303-499-5003 |