Organization
BRIGHTON EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY DALE FAIR OD (OPTOMETRIST PRESIDENT OWNER)
(303) 659-3036
Entity
Organization
Contact information
Practice address
1001 EAST BRIDGE STREET, SUITE A, BRIGHTON, CO 80601-2276
(303) 659-3036
(303) 659-0053
Mailing address
1001 EAST BRIDGE STREET, SUITE A, BRIGHTON, CO 80601-2276
(303) 659-3036
(303) 659-0053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1123
CO
152W00000X
Optometrist
Primary
645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04012282
—
CO
05
—
08006454
—
CO
05
—
08011231
—
CO
Enumeration date
07/25/2006
Last updated
06/25/2008
Update your record
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