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CORNEAL CONSULTANTS OF COLORADO PC NPI 1326032418


NPI Information

NPI: 1326032418
Provider Name: CORNEAL CONSULTANTS OF COLORADO PC

Doing Business As: COUNTY LINE OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 06D0511844

Address:
1501 W MINERAL AVE STE 100
LITTLETON, CO
ZIP 80120
Phone: (303) 730-8024
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CORNEAL CONSULTANTS OF COLORADO PC is an eyewear supplier in Littleton, CO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CORNEAL CONSULTANTS OF COLORADO PC NPI is 1326032418. The provider is registered as an organization entity type.
The provider Is Doing Business As County Line Optical.

The provider's business location address is:

1501 W MINERAL AVE STE 100
LITTLETON, CO
ZIP 80120-612
Phone: (303) 730-8024
Fax: (303) 730-6163

The provider's authorized official is Martin Rios .
The authorized official title is Revenue Manager and has the following contact phone number (303) 730-0404.

The CLIA number assigned to this NPI record is 06D0511844 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 8/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104005146MEDICAIDCOLORADO
2CB4508OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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