Organization
COLORADO RETINA ASSOCIATES, PLLC
Active
Parent organization
COLORADO RETINA ASSOCIATES, PLLC
Other names
Colorado Retina Associates, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO RETINA ASSOCIATES, PLLC
Authorized official
KYLIE ESPINOZA (CREDENTIALING SPECIALIST)
(303) 261-1600
Entity
Organization
Contact information
Practice address
360 PEAK ONE DR STE 300, FRISCO, CO 80443-5948
(303) 261-1600
(303) 261-1601
Mailing address
PO BOX 17949, DENVER, CO 80217-0949
(303) 261-1600
(303) 261-1601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74505807
—
CO
05
—
9000146494
—
CO
05
—
9000165843
—
CO
05
—
9000171077
—
CO
05
—
9000190491
—
CO
05
—
9000197544
—
CO
Enumeration date
03/05/2020
Last updated
10/02/2024
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