Organization
YOUTH VISION OF DENVER, LLC
Active
Other names
Denver Youth Dental & Vision, Denver Youth Vision
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOGAN (AUTHORIZED OFFICIAL)
(719) 200-5623
Entity
Organization
Contact information
Practice address
1400 GROVE ST, DENVER, CO 80204-2229
(303) 825-2295
(719) 960-2654
Mailing address
1400 GROVE ST, DENVER, CO 80204-2229
(720) 400-8305
(303) 825-2244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629303284
PACIFIC UNIVERSITY ISSUED NPI WHILE IN OPTOMETRY SCHOOL
—
Enumeration date
09/08/2017
Last updated
06/24/2020
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