# FRONT RANGE RETINA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRONT RANGE RETINA, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427891068
- **Legal business name:** FRONT RANGE RETINA, P.C.
- **Authorized official:** STEVEN M CHRISTIANSEN MD (PHYSICIAN)
- **Authorized official phone:** (720) 828-3937

## Contact information

- **Practice address:** 1710 JET STREAM DR STE 215, COLORADO SPRINGS, CO 80921-3937
- **Practice address phone:** (720) 828-3937
- **Practice address fax:** (720) 405-4355
- **Mailing address:** 3740 DACORO LN STE 145, CASTLE ROCK, CO 80109-2504
- **Mailing address phone:** (720) 828-3937
- **Mailing address fax:** (720) 405-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 06/13/2024