Individual
DR. JAMES ALAN EICKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1163
CO
152W00000X
Optometrist
497
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0452890003
MEDICARE DMERC
NM
05
—
08116394
—
CO
05
—
28378261
—
NM
01
—
410046891
RAILROAD MEDICARE
CO
01
—
608439600
US DEP LAB WORK COMP
CO
01
—
920725020820
EYE SPECIALIST
CO
01
—
CO1163
EYEMED EYECARE
CO
01
—
EIE0596
ANTHEM BCBS
CO
01
—
NM00PA58
NM BCBS
NM
Enumeration date
05/10/2006
Last updated
12/05/2012
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