Provider Demographics
NPI:1033571773
Name:OPTICIANS 2
Entity Type:Organization
Organization Name:OPTICIANS 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-688-0707
Mailing Address - Street 1:834 S PERRY ST STE E
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1941
Mailing Address - Country:US
Mailing Address - Phone:303-688-0707
Mailing Address - Fax:
Practice Address - Street 1:834 S PERRY ST STE E
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1941
Practice Address - Country:US
Practice Address - Phone:303-688-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty