Provider Demographics
NPI:1437341872
Name:BKK OF COLORADO
Entity Type:Organization
Organization Name:BKK OF COLORADO
Other - Org Name:DR BRIAN DROBNY O.D. & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETIRST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DROBNY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-516-1400
Mailing Address - Street 1:811 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8815
Mailing Address - Country:US
Mailing Address - Phone:972-516-1400
Mailing Address - Fax:972-516-1407
Practice Address - Street 1:811 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1000
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8815
Practice Address - Country:US
Practice Address - Phone:972-516-1400
Practice Address - Fax:972-516-1407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6804152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU 94858Medicare UPIN