Organization
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Active
Parent organization
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Other names
Bright Eyes Family Vision Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Authorized official
JENNIFER KILLEN (CREDENTIALING SPECIALIST)
(719) 276-0344
Entity
Organization
Contact information
Practice address
5385 W 38TH AVE, WHEAT RIDGE, CO 80212-7058
(303) 476-6292
Mailing address
326 DOZIER AVE, CANON CITY, CO 81212-2706
(719) 276-0344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000144069
—
CO
Enumeration date
11/05/2020
Last updated
11/05/2020
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