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Individual

CHRISTOPHER A PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6695 W COLFAX AVE, LAKEWOOD, CO 80214-1805
(720) 279-2266
(303) 957-9787
Mailing address
2221 E BIJOU ST STE 120, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2677
AR
152W00000X
Optometrist
Primary
OPT.0003255
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29168511
CO
01
OPT.0003255
CO OPTOMETRY LICENSE
CO
Enumeration date
08/15/2012
Last updated
06/12/2019
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