Individual
RICHARD E DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2356 MEADOWS BLVD, CASTLE ROCK, CO 80109
(303) 795-2244
Mailing address
8381 SOUTHPARK LN, LITTLETON, CO 80120-4508
(303) 730-0404
(303) 730-6163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19386
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01193861
—
CO
01
—
180017420
RAILROAD MEDICARE
—
01
—
920682020788
BLOCK VISION EYE SPECIALI
—
01
—
DAB4508
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2005
Last updated
08/14/2018
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