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OLDE TOWNE OPTICAL AND GIFTS LLC NPI 1346419777


NPI Information

NPI: 1346419777
Provider Name: OLDE TOWNE OPTICAL AND GIFTS LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3012 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904
Phone: (719) 636-3012
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OLDE TOWNE OPTICAL AND GIFTS LLC is an eyewear supplier in Colorado Springs, CO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. OLDE TOWNE OPTICAL AND GIFTS LLC NPI is 1346419777. The provider is registered as an organization entity type.

The provider's business location address is:

3012 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904-147
Phone: (719) 636-3012
Fax: (719) 636-3014

The provider's authorized official is John Edward Daugherty .
The authorized official title is Owner Optician and has the following contact phone number (719) 636-3012.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 2/29/2008.


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
15631630001MEDICARE NSC

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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