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Contact Information

C. JACK ROFFIS OD, PC
1933 28TH ST
SUITE 206
BOULDER, CO80301-1100
 Phone: 303-447-8470
 Fax: 303-443-9555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for C. JACK ROFFIS OD, PC

NPI Number 1801023296
LBN Legal business name C. JACK ROFFIS OD, PC
Authorized official C. JACK ROFFIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2009
Last updated 06/12/2009 - About 17 years ago
Identifiers
CO License # 1277
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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