Provider Demographics
NPI:1164566543
Name:STEINBERG, LOWELL C (OD)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:C
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 ARAPAHOE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1050
Mailing Address - Country:US
Mailing Address - Phone:303-447-8470
Mailing Address - Fax:303-443-9555
Practice Address - Street 1:3100 ARAPAHOE AVE STE 101
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1050
Practice Address - Country:US
Practice Address - Phone:303-447-8470
Practice Address - Fax:303-443-9555
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2268152WP0200X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37150871Medicaid
COMS0141464OtherFEDERAL DEA NUMBER
CO490518Medicare ID - Type Unspecified
COT49109Medicare UPIN
CO315879YU7VMedicare PIN