Provider Demographics
NPI:1770648297
Name:ONE HOUR OPTICAL MEDICAL SERVICES, PC
Entity Type:Organization
Organization Name:ONE HOUR OPTICAL MEDICAL SERVICES, PC
Other - Org Name:ONE HOUR OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HIEB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-450-0200
Mailing Address - Street 1:1685 S COLORADO BLVD
Mailing Address - Street 2:UNIT O
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4000
Mailing Address - Country:US
Mailing Address - Phone:303-757-6747
Mailing Address - Fax:303-757-6897
Practice Address - Street 1:1685 S COLORADO BLVD
Practice Address - Street 2:UNIT O
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4000
Practice Address - Country:US
Practice Address - Phone:303-757-6747
Practice Address - Fax:303-757-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1013945112OtherDR. ELIZABETH THOMAS, O.D.
CO1922406933OtherDR. ROZALIYA SHIMONOVA, OD NPI
CO04021879Medicaid
CO1598775314OtherDR. JOANN TAKARA, OD NPI
CO1003223611OtherDR. AMY ELSILA, OD NPI
CO1548413040OtherDR. AMANDA HANEY, OD NPI
CO1548541972OtherDR. HUGH MACMILLAN, OD NPI
CO1619231800OtherDR. AARON LAHOUD, OD NPI
COC08407033OtherMEDICARE SUBSCRIBER NUMBER
CO1215317789OtherDR. EMILY LEMBURG, OD NPI
CO1669887600OtherDR. TIMOTHY WHITMIRE, OD NPI
CO1740369248OtherDR STACY HIEB, OD NPI
CO1013945112OtherDR. ELIZABETH THOMAS, O.D.
CO1669887600OtherDR. TIMOTHY WHITMIRE, OD NPI