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Contact Information

CUSTOM OPTICAL, INC.
842 NORTH SUMMIT BLVD
UNIT 28
FRISCO, CO80443
 Phone: 970-668-0122
 Fax: 970-668-0639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CUSTOM OPTICAL, INC.

NPI Number 1932300662
LBN Legal business name CUSTOM OPTICAL, INC.
Authorized official PAUL BARRY - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 1498
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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