Organization
BOULDER EYE SURGEONS
Active
Organization
BOULDER EYE SURGEONS
Active
Parent organization
BOULDER EYE SURGEONS
Other names
Boulder Eye Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULDER EYE SURGEONS
Authorized official
MS. NIKISHA GRAY (CREDENTIALING)
(307) 773-7144
Entity
Organization
Contact information
Practice address
1810 30TH ST STE B, BOULDER, CO 80301-1025
(720) 358-9415
(303) 499-2020
Mailing address
PO BOX 200564, DALLAS, TX 75320-0564
(307) 773-7144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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