Provider Demographics
NPI:1477753747
Name:ASKREN, NICHOLAS B (OD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:B
Last Name:ASKREN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8101 W EASTMAN PL
Mailing Address - Street 2:UNIT 1-203
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6346
Mailing Address - Country:US
Mailing Address - Phone:303-421-1029
Mailing Address - Fax:303-431-6684
Practice Address - Street 1:7370 W 52ND AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3708
Practice Address - Country:US
Practice Address - Phone:303-421-1029
Practice Address - Fax:303-431-6684
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2542152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist