Provider Demographics
NPI:1275526444
Name:STREIFEL, NORMAN DOUGLAS (OD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:DOUGLAS
Last Name:STREIFEL
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 1:10826 OLD MILL RD
Mailing Address - Street 2:STE 101
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2660
Mailing Address - Country:US
Mailing Address - Phone:303-741-2744
Mailing Address - Fax:303-741-8922
Practice Address - Street 1:8181 E ARAPAHOE RD
Practice Address - Street 2:STE D
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-1378
Practice Address - Country:US
Practice Address - Phone:303-741-2744
Practice Address - Fax:303-741-8922
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1912152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4347080001OtherDMERRC
CO920356OtherBLOCK VISION
CO2200238OtherEVERCARE
CO36631558Medicaid
CO1822563OtherCIGNA
CO10334OtherCOORDINATED VISION CARE
COIN658514OtherANTHEM VISION
CO22-00308OtherEVERCARE
CO42580340Medicaid
CO841564406002OtherROCKY MOUNTAIN HEALTH PLA
P00332766Medicare PIN
CO920356OtherBLOCK VISION
CO2200238OtherEVERCARE
KYP00824750Medicare PIN
CO77664Medicare UPIN
COC78873Medicare ID - Type Unspecified
WAP00822801Medicare PIN
CO42580340Medicaid
WAG8888961Medicare PIN
WAG88050876Medicare PIN
CO22-00308OtherEVERCARE