Individual
VIVECA JANEL VERHAGEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5026 E HAMPDEN AVE, DENVER, CO 80222-7329
(303) 756-5900
(303) 756-5902
Mailing address
5026 E HAMPDEN AVE, DENVER, CO 80222-7329
(303) 756-5900
(303) 756-5902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2409
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508
STATE LICENSE NUMBER
FL
01
—
2409
STATE LICENSE NUMBER
CO
Enumeration date
01/18/2006
Last updated
07/09/2007
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