Provider Demographics
NPI:1164184164
Name:ASSOCIATED EYECARE SERVICES, LLC
Entity Type:Organization
Organization Name:ASSOCIATED EYECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:GEMAEHLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-405-4469
Mailing Address - Street 1:11960 LIONESS WAY STE 190
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5640
Mailing Address - Country:US
Mailing Address - Phone:303-794-1111
Mailing Address - Fax:303-473-1341
Practice Address - Street 1:11960 LIONESS WAY STE 190
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5640
Practice Address - Country:US
Practice Address - Phone:303-794-1111
Practice Address - Fax:303-347-1341
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATED EYECARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty