Organization Name: | SOUTHWEST DENVER EYE CENTER LLC |
NPI Number: | 1255509402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFRED D ROBERTS (OWNER) |
Mailing Address: | 6179 S Balsam Way Ste 130 Littleton |
State: | CO US |
Postal Code: | 801233092 |
Phone Number: | 3039482020 |
Fax Number: | 7209814250 |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 28763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |