FRONT RANGE OPTICAL NPI 1154487320

NPI Information

NPI: 1154487320
Provider Name: FRONT RANGE OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1319 VIVIAN ST
LONGMONT, CO
ZIP 80501
Phone: (303) 772-3818
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FRONT RANGE OPTICAL is an eyewear supplier in Longmont, CO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. FRONT RANGE OPTICAL NPI is 1154487320. The provider is registered as an organization entity type.

The provider's business location address is:

1319 VIVIAN ST
LONGMONT, CO
ZIP 80501
Phone: (303) 772-3818

The provider's authorized official is Dale S Johnson .
The authorized official title is Owner and has the following contact phone number (303) 772-3818.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 1/22/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		07-69569-0000	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4557350001	MEDICARE NSC	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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