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Contact Information

LACEY B BRENNER, OD
250 MAX DR
SUITE 101
CASTLE PINES, CO80108-9517
 Phone: 303-688-5066
 Fax: 303-688-6986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LACEY B BRENNER · (Female)

NPI Number 1508162710
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/04/2011
Last updated 05/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0002932
  • PA License # OEG002404
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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