Provider Demographics
NPI:1437253838
Name:HEY, CHRISTOPHER J (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:HEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 W 38TH AVE
Mailing Address - Street 2:#130
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2001
Mailing Address - Country:US
Mailing Address - Phone:303-455-0888
Mailing Address - Fax:303-455-0300
Practice Address - Street 1:4500 W 38TH AVE
Practice Address - Street 2:#130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2001
Practice Address - Country:US
Practice Address - Phone:303-455-0888
Practice Address - Fax:303-455-0300
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2297152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC811383Medicare PIN