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Contact Information

CREATIVE EYEWEAR LLC
8850 RALSTON RD
#100
ARVADA, CO80002-2252
 Phone: 303-421-8990
 Fax: 303-421-9402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CREATIVE EYEWEAR LLC

NPI Number 1134374945
LBN Legal business name CREATIVE EYEWEAR LLC
Authorized official DAVE MINNOTTE - (OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2008
Last updated 03/07/2023 - About 3 years ago
Identifiers
CO License # CO2534
CO Other CO2534 COLORADO LISCENCE #
CO Other 1013027291 NPI OPTOMETRIST
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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