Individual
DR. TYLER RAY SOMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0002976
CO
152W00000X
Optometrist
OEG002690
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024400
KAISER COMMERCIAL NUMBER
CO
05
—
66930286
—
CO
Enumeration date
09/21/2012
Last updated
06/14/2021
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