Individual
DAVID SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2829
OK
152W00000X
Optometrist
OEG002822
PA
152W00000X
Optometrist
Primary
OPT.0003668
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12564330
CAQH PROVIDER NUMBER
PA
05
—
200551910A
—
OK
Enumeration date
07/09/2013
Last updated
07/14/2021
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