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Organization

OPTOMETRIST PLACEMENT PC

Active
Other names
Dr. Spex Vision Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN JOSEPH BARDASH O.D. (OPTOMETRIST/PRESIDENT)
(720) 316-7739
Entity
Organization

Contact information

Practice address
6460 E YALE AVE, STE. A20, DENVER, CO 80222-7156
(720) 316-7739
(720) 259-9360
Mailing address
6460 E YALE AVE, STE. A20, DENVER, CO 80222-7156
(720) 316-7739
(720) 259-9360

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2635
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COA109314
GROUP PTAN
CO
Enumeration date
09/13/2012
Last updated
03/13/2013
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