Organization
FRONT RANGE FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT GODFREY O.D. (OWNER)
(303) 220-5100
Entity
Organization
Contact information
Practice address
4920 S YOSEMITE ST STE C5, GREENWOOD VILLAGE, CO 80111-1352
(303) 220-5100
Mailing address
4920 SOUTH YOSEMITE C5, GREENWOOD VILLAGE, CO 80111
(303) 220-5100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28902068
—
CO
Enumeration date
01/26/2007
Last updated
03/23/2009
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