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SPIVACK VISION CLINIC PC NPI 1588629257


NPI Information

NPI: 1588629257
Provider Name: SPIVACK VISION CLINIC PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
6881 S YOSEMITE ST
CENTENNIAL, CO
ZIP 80112
Phone: (303) 740-9310
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SPIVACK VISION CLINIC PC is an ophthalmology in Centennial, CO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SPIVACK VISION CLINIC PC NPI is 1588629257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6881 S YOSEMITE ST
CENTENNIAL, CO
ZIP 80112-406
Phone: (303) 740-9310
Fax: (303) 740-5494

The provider's authorized official is Becky Rudolph .
The authorized official title is Ceo and has the following contact phone number (303) 740-2414.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 9/10/2007.


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
1207W00000XOphthalmologyYes

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
1CA2908MEDICARE PINCOLORADO
2SPA2908OTHERCOLORADOANTHEM BC/BS

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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