NPI:
1942834841
Provider Name:
COLORADO RETINA ASSOCIATES, PLLC
Former Legal Business Name: COLORADO RETINA ASSOCIATES, PC
Classification:
Clinic/Center - 261QM2500X
Entity Type:
Organization
Specialization: Medical Specialty
Address:
1050 W SOUTH BOULDER RD STE 2100
LAFAYETTE, CO
ZIP 80026
Phone:
(303) 261-1600
Get Directions
COLORADO RETINA ASSOCIATES, PLLC is a medical specialty clinic center in Lafayette, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). COLORADO RETINA ASSOCIATES, PLLC NPI is 1942834841. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Colorado Retina Associates, Pc.
The provider's business location address is:
1050 W SOUTH BOULDER RD STE 2100
LAFAYETTE, CO
ZIP 80026-818
Phone: (303) 261-1600
Fax: (303) 261-1601
The provider's authorized official is Kylie Wakasugi .
The authorized official title is Credentialing Specialist and has the following contact phone number (303) 261-1600.
The enumeration date for this NPI number is 2/28/2020 and was last updated on 11/17/2021.