Organization
ASPEN EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN EBNER ABO (MANAGER)
(303) 447-0210
Entity
Organization
Contact information
Practice address
2525 ARAPAHOE AVE, E-23, BOULDER, CO 80302-6720
(303) 447-0210
Mailing address
2525 ARAPAHOE AVE UNIT E23, BOULDER, CO 80302-6726
(303) 447-0210
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
10-56711-0000
CO
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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