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FORT LUPTON VISION CENTER PC NPI 1558544833


NPI Information

NPI: 1558544833
Provider Name: FORT LUPTON VISION CENTER PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
301 DENVER AVE
FORT LUPTON, CO
ZIP 80621
Phone: (303) 857-6550
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FORT LUPTON VISION CENTER PC is an optometrist in Fort Lupton, CO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. FORT LUPTON VISION CENTER PC NPI is 1558544833. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 DENVER AVE
FORT LUPTON, CO
ZIP 80621-821
Phone: (303) 857-6550
Fax: (303) 857-6596

The provider's authorized official is David A Simonson .
The authorized official title is President and has the following contact phone number (303) 857-6550.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 10/16/2012.


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
1152W00000XOptometrist2357COLORADOYes

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
1DP2823OTHERCOLORADORAILROAD MEDICARE GROUP PTAN
25808690001MEDICARE NSCCOLORADO
3V01360MEDICARE UPINCOLORADO
4C801273MEDICARE PINCOLORADO

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: 11/14/2023

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