Organization
TOTAL VISION EYE CARE GROUP, LLC
Active
Parent organization
TOTAL VISION EYE CARE GROUP, LLC
Other names
ICON EyeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL VISION EYE CARE GROUP, LLC
Authorized official
CHRISTIAN ELLISON (CEO)
(720) 524-1001
Entity
Organization
Contact information
Practice address
10520 EL DIENTE CT STE A, ENGLEWOOD, CO 80112-2656
(720) 524-1001
(720) 524-1121
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(720) 524-1001
(720) 524-1121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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