Individual
DR. KYLE DAVID TREICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
702 W DRAKE RD BLDG B, FORT COLLINS, CO 80526-5563
(970) 221-4811
(970) 221-4815
Mailing address
702 W DRAKE RD BLDG B, FORT COLLINS, CO 80526-5563
(970) 221-4811
(970) 221-4815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2346
CO
152WC0802X
Corneal and Contact Management Optometrist
2346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67481540
—
CO
Enumeration date
10/24/2005
Last updated
07/08/2022
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