Organization Name: | DR. SCOTTS OPTICAL #2 |
NPI Number: | 1720223647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORRAINE LOUISE GOETTSCH (OPTICIAN) |
Mailing Address: | 98 Wadsworth Blvd Suite 122 Lakewood |
State: | CO US |
Postal Code: | 802261550 |
Phone Number: | 3032376694 |
Fax Number: | 3032373347 |
NPI Enumeration Date: | 12/05/2008 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 25-44623-0000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |