Organization
A.T. EYES PC
Active
Other names
Eye Logic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY RENEE GALLEGOS O.D. (PRESIDENT/OPTOMETRIST)
(303) 915-8642
Entity
Organization
Contact information
Practice address
123 W HAMPDEN AVE STE A, ENGLEWOOD, CO 80110-2430
(303) 915-8642
Mailing address
123 W HAMPDEN AVE STE A, ENGLEWOOD, CO 80110-2430
(303) 915-8642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2384
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72137754
—
CO
01
—
COA109554
MEDICARE PTAN
CO
Enumeration date
10/04/2012
Last updated
03/04/2016
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