Organization
CORNEAL CONSULTANTS OF COLORADO PC
Active
Other names
Colorado Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN LANCE FORSTOT MD (PRESIDENT)
(303) 730-0404
Entity
Organization
Contact information
Practice address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5612
(303) 730-0404
(720) 647-4210
Mailing address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5612
(303) 730-0404
(303) 730-6163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04005146
—
CO
01
—
B4508
BLUE CROSS BLUE SHIELD
—
01
—
CC7541
RAILROAD MEDICARE
—
Enumeration date
08/30/2005
Last updated
01/26/2022
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