Provider Demographics
NPI:1497077085
Name:B & T EYECARE PC
Entity Type:Organization
Organization Name:B & T EYECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-321-3000
Mailing Address - Street 1:100 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4916
Mailing Address - Country:US
Mailing Address - Phone:303-321-3000
Mailing Address - Fax:303-321-8157
Practice Address - Street 1:8500 E JEFFERSON AVE APT 11J
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1593
Practice Address - Country:US
Practice Address - Phone:303-779-8908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1186152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty