# TOTAL VISION EYE CARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ICON EyeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245814367
- **Authorized official:** BRETT EHRHARDT (CFO)
- **Authorized official phone:** (720) 358-0218

## Contact information

- **Practice address:** 350 INDIANA ST STE 220, GOLDEN, CO 80401-5050
- **Practice address phone:** (720) 524-1001
- **Practice address fax:** (720) 524-1121
- **Mailing address:** 3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
- **Mailing address phone:** (480) 641-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021