| |
1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | |
(303) 237-5401 | |
(303) 237-9638 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1861 Wadsworth Blvd, Lakewood, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457608341 | NPI | - | NPPES |
COAAA3088 | Other | CO | MEDICARE AMEDCO CO PLLC PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1861 Wadsworth Blvd, Lakewood, CO 80214-5225 Ph: (303) 237-5401 | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 Ph: (303) 237-5401 |