Organization
LODO OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ERIC WISE M.D. (OWNER)
(303) 299-9473
Entity
Organization
Contact information
Practice address
1435 WAZEE ST STE 101, DENVER, CO 80202-1491
(303) 299-9473
(303) 299-9472
Mailing address
1435 WAZEE ST STE 101, DENVER, CO 80202-1491
(303) 299-9473
(303) 299-9472
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
07-70541-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO4853
EYEMED
CO
Enumeration date
03/09/2007
Last updated
08/22/2020
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