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Contact Information

BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
5385 W 38TH AVE
WHEAT RIDGE, CO80212-7058
 Phone: 303-476-6292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION

NPI Number 1144821174
LBN Legal business name BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Authorized official JENNIFER KILLEN - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/05/2020
Last updated 11/05/2020 - About 6 years ago
Identifiers
CO Medicaid 9000144069
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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