Provider Demographics
NPI:1326264813
Name:HELLERSTEIN & BRENNER VISION CENTER P.C.
Entity Type:Organization
Organization Name:HELLERSTEIN & BRENNER VISION CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:F
Authorized Official - Last Name:HELLERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-850-9499
Mailing Address - Street 1:7400 E ORCHARD RD
Mailing Address - Street 2:SUITE 175-S
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2528
Mailing Address - Country:US
Mailing Address - Phone:303-850-9499
Mailing Address - Fax:303-850-7032
Practice Address - Street 1:7400 E ORCHARD RD
Practice Address - Street 2:SUITE 175-S
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2528
Practice Address - Country:US
Practice Address - Phone:303-850-9499
Practice Address - Fax:303-850-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCF0533Medicare PIN
COC808149Medicare PIN
COT60844Medicare UPIN
COU88282Medicare UPIN
COU26671Medicare UPIN
COCF0503Medicare PIN
COCF0523Medicare PIN
COV12126Medicare UPIN
COC451398Medicare PIN