Provider Demographics
NPI:1083617443
Name:HAYES, HARRISON FRENSLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:FRENSLEY
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 S UNIVERSITY BLVD
Mailing Address - Street 2:STE. 220
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5049
Mailing Address - Country:US
Mailing Address - Phone:303-346-8400
Mailing Address - Fax:303-346-1785
Practice Address - Street 1:9330 S UNIVERSITY BLVD
Practice Address - Street 2:STE 220
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5065
Practice Address - Country:US
Practice Address - Phone:303-346-8400
Practice Address - Fax:303-346-1785
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15013207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO801636Medicare ID - Type Unspecified
COD22772Medicare UPIN