Organization
REPINE VISION AND LASER LLC
Active
Parent organization
REPINE VISION AND LASER LLC
Other names
COUNTY LINE OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
REPINE VISION AND LASER LLC
Authorized official
MS. NORA PEARSON (OPTICIAN)
(303) 730-8024
Entity
Organization
Contact information
Practice address
8381 SOUTHPARK LN, LITTLETON, CO 80120-4508
(303) 730-8024
(303) 730-6163
Mailing address
8381 SOUTHPARK LN, LITTLETON, CO 80120-4508
(303) 730-8024
(303) 730-6163
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40376
BLUE CROSS CLUE SHIELD
—
05
—
55800068
—
CO
Enumeration date
09/07/2005
Last updated
02/01/2008
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