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12810 W Alameda Pkwy, Suite B, Lakewood, CO 80228-3116 | |
| (303) 986-5565 | |
| (303) 984-2111 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12810 W Alameda Pkwy, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790996379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2107 (Colorado) | Primary |
| Provider Name | Kevin J Krajewski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114948247 PECOS PAC ID: 9234227018 Enrollment ID: I20100213000122 |
| Provider Name | Jean Louise Demoss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093750424 PECOS PAC ID: 6800088923 Enrollment ID: I20101007001127 |
| Provider Name | Tuesday N Hennessy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154686301 PECOS PAC ID: 6901059567 Enrollment ID: I20130109000550 |
| Mailing Address | Practice Location Address |
|---|---|
12810 W Alameda Pkwy, Suite B, Lakewood, CO 80228-3116 Ph: (303) 986-5565 | 12810 W Alameda Pkwy, Suite B, Lakewood, CO 80228-3116 Ph: (303) 986-5565 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226 Phone: 303-749-8802 Fax: 303-237-2610 | |
Academy For Visual Achievement, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 12265 W Bayaud Ave, Suite 120, Lakewood, CO 80228 Phone: 720-709-7334 | |
Dr. Bryan Kirk Kemper, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8383 W Alameda Ave, Lakewood, CO 80226 Phone: 303-338-4545 | |
Richard Eugene Winnick, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7151 W Alaska Dr, Lakewood, CO 80226 Phone: 303-936-4395 Fax: 303-936-3756 | |
Gary Silbert Holtzman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1535 S Kipling Pkwy, Unit C, Lakewood, CO 80232 Phone: 303-937-8655 Fax: 303-937-8675 | |
Dr. Kirk Matoba, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Union Blvd Ste 415, Lakewood, CO 80228 Phone: 303-988-2777 |