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Contact Information

ETHAN BRILLEY
3745 DACORO LN STE 100
CASTLE ROCK, CO80109-2500
 Phone: 720-375-5625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ETHAN BRILLEY · (Male)

NPI # 1376065029
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2017
Last updated 08/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # 3320
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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