| Scott Kenneth Theodore, | |
|
4804 Chambers Rd, Denver, CO 80239-5152 | |
| (303) 576-6655 | |
| Not Available |
| Full Name | Scott Kenneth Theodore |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4804 Chambers Rd, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669176731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618003264 (Virginia) | Secondary |
| 152W00000X | Optometrist | 3691 (Colorado) | Primary |
| Provider Name | Look Optical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801820469 PECOS PAC ID: 2668451055 Enrollment ID: O20040719000812 |
| Provider Name | Senior Vision Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861779266 PECOS PAC ID: 8820256001 Enrollment ID: O20120220000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Kenneth Theodore, 4804 Chambers Rd, Denver, CO 80239-5152 Ph: () - | Scott Kenneth Theodore, 4804 Chambers Rd, Denver, CO 80239-5152 Ph: (303) 576-6655 |
Dr. Valencia Z Lo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5560 W 44th Ave, Denver, CO 80212 Phone: 303-421-2424 Fax: 303-421-2155 | |
Dr. Lauren Elizabeth Kimmel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2061 S Pearl St, Denver, CO 80210 Phone: 303-519-2209 | |
Dr. Aaron Michael Winstead, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2040 W 30th Ave, Denver, CO 80211 Phone: 720-826-0123 Fax: 720-726-0124 | |
Dr. Nancy Van, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5957 W 44th Ave, Denver, CO 80212 Phone: 303-222-4459 Fax: 303-477-5968 | |
Hero Vision Of Denver Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1407 W 84th Ave Unit B8, Denver, CO 80260 Phone: 720-214-4746 | |
Dr. Eric Toppen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4321 W 44th Ave, Denver, CO 80212 Phone: 303-353-4007 | |
Mark A Miller, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-861-3451 |