Organization
ONE HOUR OPTICAL MEDICAL SERVICES, PC
Active
Other names
Eyecare Specialties of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
3867 E 120TH AVE., THORNTON, CO 80233-1660
(303) 450-0200
(303) 450-0895
Mailing address
1685 S COLORADO BLVD, UNIT O, DENVER, CO 80222-4000
(303) 757-6747
(303) 757-6897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1746
CO
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06177867
—
CO
01
—
5668380002
MEDICARE DME
CO
01
—
S4503
MEDICARE PTAN
CO
Enumeration date
02/18/2010
Last updated
11/02/2020
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