Organization
PREMIER EYE SURGERY CENTER OF COLORADO, LLC
Active
Other names
Premier Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN NICHOLS MD, PHD (MANAGER)
(303) 882-3015
Entity
Organization
Contact information
Practice address
1050 W. SOUTH BOULDER ROAD, LAFAYETTE, CO 80026
(303) 730-0066
Mailing address
1050 W SOUTH BOULDER ROAD, LAFAYETTE, CO 80026
(303) 604-0787
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
07/29/2019
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