Organization
LOMA EYE CARE, LLC
Active
Other names
LOMA Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A GALLEGOS OD (OPTOMETRIST)
(720) 476-7971
Entity
Organization
Contact information
Practice address
7455 W COLFAX AVE, LAKEWOOD, CO 80214-5405
(720) 882-3414
(720) 524-8101
Mailing address
7455 W COLFAX AVE, LAKEWOOD, CO 80214-5405
(720) 882-3414
(720) 524-8101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3071
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67775578
—
CO
Enumeration date
09/21/2017
Last updated
07/23/2024
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