Provider Demographics
NPI:1790340537
Name:DENVER OCULOPLASTICS
Entity Type:Organization
Organization Name:DENVER OCULOPLASTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SITOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-320-0321
Mailing Address - Street 1:5150 E YALE CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6917
Mailing Address - Country:US
Mailing Address - Phone:720-699-8687
Mailing Address - Fax:
Practice Address - Street 1:5150 E YALE CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6917
Practice Address - Country:US
Practice Address - Phone:720-699-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery