Organization
ABOUT EYES OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HEADINGTON (OD)
(520) 869-3422
Entity
Organization
Contact information
Practice address
10360 MELODY DR, NORTHGLENN, CO 80260-6046
(303) 452-5670
(303) 452-2006
Mailing address
10360 MELODY DR, NORTHGLENN, CO 80260-6046
(303) 452-5670
(303) 452-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2967
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330803YXPP
PTAN NUMBER
CO
01
—
A16695
UPIN
CO
Enumeration date
02/25/2015
Last updated
02/25/2015
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