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Contact Information

CROCKETT VISION CENTER INC.
1345 WADSWORTH BLVD
LAKEWOOD, CO80214-4209
 Phone: 303-238-9900
 Fax: 303-238-8527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CROCKETT VISION CENTER INC.

NPI # 1902080716
LBN Legal business name CROCKETT VISION CENTER INC.
Authorized official DAVID CROCKETT - (PRESIDENT/ OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2007
Last updated 02/03/2009 - About 17 years ago
Identifiers
CO License # ESP1196
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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