Provider Demographics
NPI:1174848105
Name:URBAN EYES VISION CARE, P.C.
Entity Type:Organization
Organization Name:URBAN EYES VISION CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPA
Authorized Official - Middle Name:ARVIND
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-433-5820
Mailing Address - Street 1:3459 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3103
Mailing Address - Country:US
Mailing Address - Phone:303-433-5820
Mailing Address - Fax:303-433-5869
Practice Address - Street 1:3459 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3103
Practice Address - Country:US
Practice Address - Phone:303-433-5820
Practice Address - Fax:303-433-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT1757152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA100395Medicare PIN