Jullie Ngo, | |
5091 Kipling St Ste 100, Wheat Ridge, CO 80033-2336 | |
(720) 679-3522 | |
Not Available |
Full Name | Jullie Ngo |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 5091 Kipling St Ste 100, Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588288575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.0003604 (Colorado) | Primary |
Provider Name | Sowash Optometry Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336172055 PECOS PAC ID: 9830195858 Enrollment ID: O20061016000359 |
Mailing Address | Practice Location Address |
---|---|
Jullie Ngo, 1223 S King St, Denver, CO 80219-3924 Ph: () - | Jullie Ngo, 5091 Kipling St Ste 100, Wheat Ridge, CO 80033-2336 Ph: (720) 679-3522 |
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