Provider Demographics
NPI:1467576496
Name:ARVADA HEALTH CENTER OPTICAL
Entity Type:Organization
Organization Name:ARVADA HEALTH CENTER OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-423-0338
Mailing Address - Street 1:7950 KIPLING ST
Mailing Address - Street 2:#203
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3923
Mailing Address - Country:US
Mailing Address - Phone:303-423-0338
Mailing Address - Fax:
Practice Address - Street 1:7950 KIPLING ST
Practice Address - Street 2:#203
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3923
Practice Address - Country:US
Practice Address - Phone:303-423-0338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier