Provider Demographics
NPI:1144390477
Name:FALCON FAMILY EYE CARE PC
Entity Type:Organization
Organization Name:FALCON FAMILY EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ROYER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:719-886-4770
Mailing Address - Street 1:7685 MCLAUGHLIN RD
Mailing Address - Street 2:STE 130
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4751
Mailing Address - Country:US
Mailing Address - Phone:719-886-4770
Mailing Address - Fax:719-886-4771
Practice Address - Street 1:7685 MCLAUGHLIN RD
Practice Address - Street 2:SUITE 130
Practice Address - City:FALCON
Practice Address - State:CO
Practice Address - Zip Code:80831
Practice Address - Country:US
Practice Address - Phone:719-886-4770
Practice Address - Fax:719-886-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2479152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty