Provider Demographics
NPI:1316601974
Name:OPTIMAL EYECARE, P.C.
Entity Type:Organization
Organization Name:OPTIMAL EYECARE, P.C.
Other - Org Name:OPTIMAL EYECARE - NORTHGLENN
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-452-9312
Mailing Address - Street 1:P.O. BOX 549
Mailing Address - Street 2:12470 YORK STREET
Mailing Address - City:EASTLAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80614-0549
Mailing Address - Country:US
Mailing Address - Phone:303-842-7632
Mailing Address - Fax:
Practice Address - Street 1:10669 MELODY DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4113
Practice Address - Country:US
Practice Address - Phone:303-452-9312
Practice Address - Fax:303-452-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty