Individual
DR. TYLER RAY SOMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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