Organization
TOTAL VISION EYE CARE GROUP, LLC
Active
Other names
ICON EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT EHRHARDT (CFO)
(720) 358-0218
Entity
Organization
Contact information
Practice address
350 INDIANA ST STE 220, GOLDEN, CO 80401-5050
(720) 524-1001
(720) 524-1121
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(480) 641-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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