Provider Demographics
NPI:1568846004
Name:GOLDEN VISION LLC
Entity Type:Organization
Organization Name:GOLDEN VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERWERF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-249-7295
Mailing Address - Street 1:2525 ARAPAHOE AVE
Mailing Address - Street 2:SUITE E-4 813
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6720
Mailing Address - Country:US
Mailing Address - Phone:303-249-7295
Mailing Address - Fax:720-564-1200
Practice Address - Street 1:2525 ARAPAHOE AVE
Practice Address - Street 2:SUITE E-4 813
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6720
Practice Address - Country:US
Practice Address - Phone:303-249-7295
Practice Address - Fax:720-564-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty