Organization
NORTHGLENN OPTOMETRIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS S. MCGUIRE O.D. (OWNER)
(303) 452-5670
Entity
Organization
Contact information
Practice address
10360 MELODY DR, NORTHGLENN, CO 80260-6046
(303) 452-5670
(303) 452-2006
Mailing address
10360 MELODY DR, NORTHGLENN, CO 80260-6046
(303) 452-5670
(303) 452-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0307120001
CIGNA/DMERC
CO
05
—
08007114
—
CO
Enumeration date
12/07/2007
Last updated
12/18/2007
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