Provider Demographics
NPI:1457501728
Name:MILE HIGH CORNEAL SPECIALISTS PC
Entity Type:Organization
Organization Name:MILE HIGH CORNEAL SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-482-1300
Mailing Address - Street 1:3535 RIVER POINT PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:CO
Mailing Address - Zip Code:80110-3325
Mailing Address - Country:US
Mailing Address - Phone:303-482-1300
Mailing Address - Fax:303-482-1356
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44960261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1457501728Medicaid
CO1518464247Medicaid
CO1073175337Medicaid
CO1477715829Medicaid
CO1821663295Medicaid
CO1043716269Medicaid
CO1376583575Medicaid
CO1407426091Medicaid