Provider Demographics
NPI:1609006030
Name:L. PAGE POND
Entity Type:Organization
Organization Name:L. PAGE POND
Other - Org Name:VISION FIRST EYECARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-745-9400
Mailing Address - Street 1:15320 E ALAMEDA PKWY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-2066
Mailing Address - Country:US
Mailing Address - Phone:303-745-9400
Mailing Address - Fax:303-369-5212
Practice Address - Street 1:15320 E ALAMEDA PKWY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-2066
Practice Address - Country:US
Practice Address - Phone:303-745-9400
Practice Address - Fax:303-369-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT1006152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty