Organization Name: | SUMMIT EYE CENTER PC |
NPI Number: | 1548215346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D KIRK (PRESIDENT) |
Mailing Address: | 3650 E 15th St Loveland |
State: | CO US |
Postal Code: | 805388701 |
Phone Number: | 9706691107 |
Fax Number: | 9706698849 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 28606 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |