Provider Demographics
NPI:1467599977
Name:POSADA, DIEGO ALEXANDER (OD)
Entity Type:Individual
Prefix:
First Name:DIEGO
Middle Name:ALEXANDER
Last Name:POSADA
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 1:9407 E 147TH PL
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-5713
Mailing Address - Country:US
Mailing Address - Phone:720-280-6389
Mailing Address - Fax:
Practice Address - Street 1:5990 DAHLIA ST
Practice Address - Street 2:SUITE A
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-3708
Practice Address - Country:US
Practice Address - Phone:303-287-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2005152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist