Organization
CORNEAL CONSULTANTS OF COLORADO PC
Active
Organization
CORNEAL CONSULTANTS OF COLORADO PC
Active
Parent organization
CORNEAL CONSULTANTS OF COLORADO PC
Other names
COUNTY LINE OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNEAL CONSULTANTS OF COLORADO PC
Authorized official
MR. MARTIN RIOS (REVENUE MANAGER)
(303) 730-0404
Entity
Organization
Contact information
Practice address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5612
(303) 730-8024
(303) 730-6163
Mailing address
1501 W MINERAL AVE STE 100, LITTLETON, CO 80120-5612
(303) 730-8024
(303) 730-6163
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04005146
—
CO
01
—
CB4508
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/06/2005
Last updated
08/19/2021
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