Provider Demographics
NPI:1578734588
Name:OPTICAL PERSPECTIVES, INC.
Entity Type:Organization
Organization Name:OPTICAL PERSPECTIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:970-577-1027
Mailing Address - Street 1:455 E WONDER VIEW AVE # B-1
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9647
Mailing Address - Country:US
Mailing Address - Phone:970-577-1027
Mailing Address - Fax:970-577-1033
Practice Address - Street 1:455 E WONDER VIEW AVE # B-1
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9647
Practice Address - Country:US
Practice Address - Phone:970-577-1027
Practice Address - Fax:970-577-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========Medicaid
CO=========Medicaid