Provider Demographics
NPI:1154456754
Name:ERA OPTICAL 2000, INC.
Entity Type:Organization
Organization Name:ERA OPTICAL 2000, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOZES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-464-7627
Mailing Address - Street 1:1285 E 1ST AVE.
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3765
Mailing Address - Country:US
Mailing Address - Phone:303-464-7627
Mailing Address - Fax:
Practice Address - Street 1:1285 E 1ST AVE.
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-3765
Practice Address - Country:US
Practice Address - Phone:303-464-7627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service