Individual
DR. STACY LYNN HIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3867 E 120TH AVE, THORNTON, CO 80233-1660
(303) 450-0200
(303) 450-0895
Mailing address
8309 W 90TH PL, WESTMINSTER, CO 80021-4557
(303) 487-4432
(303) 450-0895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1746
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08914760
—
CO
Enumeration date
11/03/2006
Last updated
07/08/2007
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