| Organization Name: | MONTGOMERY EYE CARE PC |
| NPI Number: | 1194133827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIEGLINDE FREED (ADMINISTRATOR) |
| Mailing Address: | 10465 Melody Dr Ste 111 Northglenn |
| State: | CO US |
| Postal Code: | 802344119 |
| Phone Number: | 3032529981 |
| Fax Number: | 3032527306 |
| NPI Enumeration Date: | 07/25/2014 |
| NPI Last Update Date: | 07/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | 160496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |