Organization
CHILDREN'S EYE PHYSICIANS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE M BRIDGES (CEO)
(303) 456-9456
Entity
Organization
Contact information
Practice address
2575 PEARL ST STE 1C, BOULDER, CO 80302-3851
(303) 456-9456
(303) 467-0145
Mailing address
4875 WARD RD STE 600, WHEAT RIDGE, CO 80033-1944
(303) 456-9456
(303) 463-7560
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
09/04/2020
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