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Organization
DENVER EYE SURGERY CENTER, LLC
Active
Organization
DENVER EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE BECKER (BILLING MANAGER)
(303) 273-8774
Entity
Organization
Contact information
Practice address
13772 DENVER WEST PKWY, BLDG#55, STE#120, LAKEWOOD, CO 80401-3139
(303) 279-6600
(303) 279-9140
Mailing address
13772 DENVER WEST PKWY STE 120, LAKEWOOD, CO 80401-3139
(303) 279-6600
(303) 279-9140
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510087
—
CO
01
—
427718
LEGACY TM
CO
01
—
490000347
RAILROAD MEDICARE
—
01
—
803092
LEGACY RK
CO
01
—
803688
LEGACY NM
CO
01
—
CK2868
LEGACY VC
CO
01
—
CK2878
LEGACY JS
CO
Enumeration date
12/06/2005
Last updated
05/18/2021
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