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Organization

COLORADO RETINA ASSOCIATES, PLLC

Active
Parent organization
COLORADO RETINA ASSOCIATES, PLLC
Other names
Colorado Retina Associates, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO RETINA ASSOCIATES, PLLC
Authorized official
KYLIE ESPINOZA (CREDENTIALING SPECIALIST)
(303) 261-1600
Entity
Organization

Contact information

Practice address
255 S ROUTT ST STE 200, LAKEWOOD, CO 80228-2271
(303) 261-1600
(303) 261-1601
Mailing address
PO BOX 736996, DALLAS, TX 75373-6996
(303) 261-1600
(303) 261-1601

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23579200
CO
05
74505807
CO
05
9000165843
CO
05
9000176494
CO
05
9000190491
CO
05
9000197544
CO
05
9000216706
CO
05
9000237316
CO
Enumeration date
09/28/2006
Last updated
04/20/2026
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