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KENNETH R VAN AMERONGEN ODPC NPI 1992955611


NPI Information

NPI: 1992955611
Provider Name: KENNETH R VAN AMERONGEN OD,PC

Doing Business As: VAN'S EYECARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1209 W EISENHOWER BLVD
LOVELAND, CO
ZIP 80537
Phone: (970) 667-3445
Get Directions

KENNETH R VAN AMERONGEN OD,PC is an eyewear supplier in Loveland, CO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KENNETH R VAN AMERONGEN OD,PC NPI is 1992955611. The provider is registered as an organization entity type.
The provider Is Doing Business As Van's Eyecare.

The provider's business location address is:

1209 W EISENHOWER BLVD
LOVELAND, CO
ZIP 80537-128
Phone: (970) 667-3445
Fax: (970) 667-8426

The provider's authorized official is Kenneth R Van Amerongen Od,pc .
The authorized official title is President/owner and has the following contact phone number (970) 667-3445.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier1449COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142123MEDICARE PINCOLORADO
2T88838MEDICARE UPINCOLORADO
35304510001MEDICARE NSCCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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