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Contact Information

FRONT RANGE OPTICAL
1319 VIVIAN ST
LONGMONT, CO80501
 Phone: 303-772-3818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for FRONT RANGE OPTICAL

NPI Number 1154487320
LBN Legal business name FRONT RANGE OPTICAL
Authorized official DALE JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 01/22/2009 - About 17 years ago
Identifiers
CO License # 07-69569-0000
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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