Provider Demographics
NPI:1114365640
Name:NORTH RANGE EYE CARE, P.C.
Entity Type:Organization
Organization Name:NORTH RANGE EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:HITE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:720-499-8349
Mailing Address - Street 1:13599 E. 104TH AVENUE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022
Mailing Address - Country:US
Mailing Address - Phone:720-499-8349
Mailing Address - Fax:
Practice Address - Street 1:13599 E. 104TH AVENUE
Practice Address - Street 2:SUITE 400
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022
Practice Address - Country:US
Practice Address - Phone:720-499-8349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002982152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty