Provider Demographics
NPI:1205368164
Name:HASLER, RACHEL (OD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HASLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MAX DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9518
Mailing Address - Country:US
Mailing Address - Phone:303-688-5066
Mailing Address - Fax:303-688-6986
Practice Address - Street 1:250 MAX DR STE 101
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-9518
Practice Address - Country:US
Practice Address - Phone:303-688-5066
Practice Address - Fax:303-688-6986
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011107152W00000X
CO0003419152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist