Individual
CADE OOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1675 AURORA CT, AURORA, CO 80045-2517
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0004020
CO
152WL0500X
Low Vision Rehabilitation Optometrist
OPT35478-TLG
CA
Other
Enumeration date
06/27/2023
Last updated
02/05/2025
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