Provider Demographics
NPI:1023035821
Name:ASSOCIATES IN FAMILY EYECARE, INC
Entity Type:Organization
Organization Name:ASSOCIATES IN FAMILY EYECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-669-4587
Mailing Address - Street 1:2249 W EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-3147
Mailing Address - Country:US
Mailing Address - Phone:970-669-4587
Mailing Address - Fax:970-669-4588
Practice Address - Street 1:2249 W EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3147
Practice Address - Country:US
Practice Address - Phone:970-669-4587
Practice Address - Fax:970-669-4588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806198Medicare PIN
CO5949100001Medicare NSC