Individual
DR. WILLIAM R SHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1522
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019762
KAISER COMMERCIAL NUMBER
CO
05
—
08015224
—
CO
Enumeration date
02/15/2007
Last updated
07/21/2022
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