Individual
DR. AMY RENEE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3531 S LOGAN ST STE A, ENGLEWOOD, CO 80113-3700
(303) 789-7486
(303) 789-7494
Mailing address
3531 S LOGAN ST STE A, ENGLEWOOD, CO 80113-3700
(303) 789-7486
(303) 789-7494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2384
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60272538
—
CO
01
—
911208
EYEMED
CO
01
—
COA109554
MEDICARE PTAN
CO
Enumeration date
05/04/2006
Last updated
04/19/2023
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