Provider Demographics
NPI:1376688523
Name:ONORATO, STEVEN JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:ONORATO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3355 S WADSWORTH BLVD
Mailing Address - Street 2:UNIT G123
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5160
Mailing Address - Country:US
Mailing Address - Phone:303-988-6651
Mailing Address - Fax:720-963-0148
Practice Address - Street 1:3355 S WADSWORTH BLVD UNIT G123
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5160
Practice Address - Country:US
Practice Address - Phone:303-969-0777
Practice Address - Fax:720-963-0148
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1516152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCD7023Medicare PIN