Provider Demographics
NPI:1437256054
Name:EYE ASSOCIATES OF COLORADO, P.C.
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF COLORADO, P.C.
Other - Org Name:WESTMINSTER EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-427-1426
Mailing Address - Street 1:8787 TURNPIKE DR
Mailing Address - Street 2:#150
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7031
Mailing Address - Country:US
Mailing Address - Phone:303-427-1426
Mailing Address - Fax:303-427-5220
Practice Address - Street 1:8787 TURNPIKE DR
Practice Address - Street 2:#150
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7031
Practice Address - Country:US
Practice Address - Phone:303-427-1426
Practice Address - Fax:303-427-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1886152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO68656343Medicaid
CO87058537Medicaid
486308Medicare PIN
4792690001Medicare NSC