Individual
DR. DAVID A SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 DENVER AVE, FORT LUPTON, CO 80621-1821
(303) 857-6550
(303) 857-6596
Mailing address
301 DENVER AVE, FORT LUPTON, CO 80621-1821
(303) 857-6550
(303) 857-6596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2357
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00743735
RAILROAD MEDICARE MEMBER PTAN
CO
Enumeration date
02/08/2006
Last updated
05/19/2023
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