| |
2205 W 136th Ave Unit C112 Broomfield CO 80023-9306 | |
(720) 806-2015 | |
(720) 806-2581 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2205 W 136th Ave Unit C112, Broomfield, Colorado |
Authorized Official Name and Position | Michelle Auyeung (OPTOMETRIST) |
Authorized Official Contact | 7204621361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1967 Vallejo Loop Broomfield CO 80023-7420 Ph: (720) 462-1361 | 2205 W 136th Ave Unit C112 Broomfield CO 80023-9306 Ph: (720) 806-2015 |
NPI Number | 1578259784 |
---|---|
Provider Enumeration Date | 04/12/2023 |
Last Update Date | 04/17/2023 |
Medicare PECOS PAC ID | 7315394962 |
---|---|
Medicare Enrollment ID | O20231103001881 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578259784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Michelle Auyeung |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700263126 PECOS PAC ID: 8224485875 Enrollment ID: I20231103003497 |
Raining Faith Massage Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Mcintosh Ave, Broomfield, CO 80020 Phone: 720-259-2289 Fax: 720-259-2289 | |
Broomfield Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6363 W 120th Ave, Suite 302, Broomfield, CO 80020 Phone: 303-635-2225 | |
Half Moon Health & Wellness, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Industrial Ln Unit 1a, Broomfield, CO 80020 Phone: 720-912-4098 |