Organization
ASSOCIATED EYE CARE PROFESSIONALS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E RANDY CRAVEN MD (OWNER)
(303) 794-1111
Entity
Organization
Contact information
Practice address
11960 LIONESS WAY, SUITE 190, PARKER, CO 80134-5640
(303) 794-1111
(303) 347-1341
Mailing address
11960 LIONESS WAY, SUITE 190, PARKER, CO 80134-5640
(303) 794-1111
(303) 347-1341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2148
CO
207W00000X
Ophthalmology Physician
15013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033049
—
CO
Enumeration date
08/08/2006
Last updated
05/05/2009
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