| Fredric Ian Eyewear | |
|
2648 Broadway St, Boulder, CO 80304-3542 | |
| (303) 938-8646 | |
| (303) 938-4087 |
| Full Name | Fredric Ian Eyewear |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2648 Broadway St, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376482 | NPI | - | NPPES |
| 1801867478 | Other | CO | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CO 2054 (Colorado) | Primary |
| Provider Name | Jennifer T Carr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801867478 PECOS PAC ID: 9133168529 Enrollment ID: I20050426000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredric Ian Eyewear 2648 Broadway St, Boulder, CO 80304-3542 Ph: (303) 938-8646 | Fredric Ian Eyewear 2648 Broadway St, Boulder, CO 80304-3542 Ph: (303) 938-8646 |
Eyecare Center Of Boulder, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1836 30th St, Boulder, CO 80301 Phone: 303-449-2401 Fax: 720-563-0157 | |
Dr. Paula Postma, Optometrist Optometrist Medicare: Medicare Enrolled Practice Location: 2885 Aurora Ave, Suite 4, Boulder, CO 80303 Phone: 303-443-2020 Fax: 303-444-2030 | |
Briana Renee Lovell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1855 29th St # 1e-1156, Boulder, CO 80301 Phone: 720-565-0445 | |
Broadway Eye & Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2648 Broadway St, Boulder, CO 80304 Phone: 303-938-8646 Fax: 303-938-4087 | |
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 |