Organization
CREATIVE EYEWEAR LLC
Active
Organization
CREATIVE EYEWEAR LLC
Active
Other names
Arvada Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE MINNOTTE PRACTICE ADMIN. (OPTICIAN)
(303) 421-8990
Entity
Organization
Contact information
Practice address
8850 RALSTON RD, #100, ARVADA, CO 80002-2252
(303) 421-8990
(303) 421-9402
Mailing address
8850 RALSTON RD, #100, ARVADA, CO 80002-2252
(303) 421-8990
(303) 421-9402
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
CO2534
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013027291
NPI OPTOMETRIST
CO
01
—
CO2534
COLORADO LISCENCE #
CO
Enumeration date
11/20/2008
Last updated
03/07/2023
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