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Contact Information

CARBON VALLEY EYE CARE
5900 KEYES ST STE 101
FREDERICK, CO80504-5956
 Phone: 303-833-1056
 Fax: 303-833-1057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CARBON VALLEY EYE CARE

NPI # 1235558065
LBN Legal business name CARBON VALLEY EYE CARE
Authorized official MICHAEL KODITEK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2014
Last updated 03/13/2020 - About 6 years ago
Identifiers
CO License # 2850
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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