Provider Demographics
NPI:1376583575
Name:RICHHEIMER, WILLIAM E (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:RICHHEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E HAMPDEN AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2518
Mailing Address - Country:US
Mailing Address - Phone:303-482-1300
Mailing Address - Fax:
Practice Address - Street 1:3535 RIVER POINT PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:SHERIDAN
Practice Address - State:CO
Practice Address - Zip Code:80110-8011
Practice Address - Country:US
Practice Address - Phone:303-482-1300
Practice Address - Fax:303-482-1356
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5829468-1205207W00000X
CO44960207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00332610OtherRAILROAD MEDICARE
CORI678209OtherBLUE CROSS BLUE SHIELD
CO08978816Medicaid
CORI678209OtherBLUE CROSS BLUE SHIELD
COC805987Medicare PIN