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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