Organization
MIC OPTICAL SOURCING,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANG HE OPTICIAN (OWNER)
(720) 238-2922
Entity
Organization
Contact information
Practice address
2200 W ALAMEDA AVE UNIT 16, DENVER, CO 80223-1947
(720) 238-2922
(720) 572-7999
Mailing address
2200 W ALAMEDA AVE UNIT 16, DENVER, CO 80223-1947
(720) 238-2922
(720) 572-7999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
12/23/2019
Last updated
08/28/2025
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