Individual
TY CLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
230 S HOLLAND ST, LAKEWOOD, CO 80226-2837
(303) 431-8887
(303) 431-8992
Mailing address
230 S HOLLAND ST, LAKEWOOD, CO 80226-2837
(303) 431-8887
(303) 431-8992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003140
CO
Other
Enumeration date
09/18/2015
Last updated
05/20/2024
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