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Contact Information

ELEVATION VISION OD PLLC
658 GENOA WAY
UNIT B
CASTLE ROCK, CO80109
 Phone: 701-720-0009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ELEVATION VISION OD PLLC

NPI # 1467957746
LBN Legal business name ELEVATION VISION OD PLLC
Authorized official GARRETT MOEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2018
Last updated 03/28/2018 - About 8 years ago
Identifiers
License # OPT.0003156
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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