Organization
CHERRY CREEK OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER T ROE III M.D. (OWNER)
(303) 758-5477
Entity
Organization
Contact information
Practice address
4999 E KENTUCKY AVE, SUITE 100, DENVER, CO 80246-3901
(303) 691-2233
Mailing address
4999 E KENTUCKY AVE, SUITE 100, DENVER, CO 80246-3901
(303) 691-2233
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
21624440000
CO
Other
Enumeration date
06/28/2007
Last updated
12/06/2012
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