Provider Demographics
NPI:1346904430
Name:ASSOCIATED EYECARE SERVICES, LLC
Entity Type:Organization
Organization Name:ASSOCIATED EYECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:GEMAEHLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-405-4469
Mailing Address - Street 1:11961 LIONESS WAY
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5302
Mailing Address - Country:US
Mailing Address - Phone:720-880-6455
Mailing Address - Fax:303-880-6460
Practice Address - Street 1:11961 LIONESS WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5302
Practice Address - Country:US
Practice Address - Phone:720-880-6455
Practice Address - Fax:303-880-6460
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATED EYECARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty