Organization
CREEKSIDE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI JALILI FAZEL OD (OPTOMETRIST)
(303) 810-4375
Entity
Organization
Contact information
Practice address
5071 KIPLING ST, WHEAT RIDGE, CO 80033-2251
(303) 810-4375
Mailing address
4380 S MONACO ST UNIT 5002, DENVER, CO 80237-3519
(303) 810-4375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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