# FAMILY EYE CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467578278
- **Authorized official:** MRS. SHAWN M. DEMOSS (PRACTICE MANAGER)
- **Authorized official phone:** (303) 393-8378

## Contact information

- **Practice address:** 6881 S YOSEMITE ST, CENTENNIAL, CO 80112-1406
- **Practice address phone:** (303) 393-8378
- **Practice address fax:** (720) 872-4902
- **Mailing address:** 6881 S YOSEMITE ST, CENTENNIAL, CO 80112-1406
- **Mailing address phone:** (303) 393-8378
- **Mailing address fax:** (720) 872-4902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 07/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46954333 | — | CO |
| 01 | — | DD8301 | RR MEDICARE | CO |
| 01 | — | PA666127 | BCBS | CO |