Provider Demographics
NPI:1558700039
Name:PARTNOW, GARY H (OD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:H
Last Name:PARTNOW
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 1:14405 W COLFAX AVE
Mailing Address - Street 2:#310
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3247
Mailing Address - Country:US
Mailing Address - Phone:303-215-0376
Mailing Address - Fax:303-302-6906
Practice Address - Street 1:7238 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3187
Practice Address - Country:US
Practice Address - Phone:719-592-9991
Practice Address - Fax:719-260-6251
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2983152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist