Organization
BRYAN VISION ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY KRISTIN SPAULDING OD (OPTOMETRIST)
(303) 986-5983
Entity
Organization
Contact information
Practice address
2525 S WADSWORTH BLVD, 101, LAKEWOOD, CO 80227-3273
(303) 986-5983
(303) 986-5473
Mailing address
2525 S WADSWORTH BLVD, 101, LAKEWOOD, CO 80227-3273
(303) 986-5983
(303) 986-5473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C466928
MEDICARE PTIN
CO
Enumeration date
05/27/2008
Last updated
02/02/2012
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