Provider Demographics
NPI:1821041005
Name:UNIVERSITY HILLS EYE CENTER, P.C.
Entity Type:Organization
Organization Name:UNIVERSITY HILLS EYE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CRIST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-757-3311
Mailing Address - Street 1:2741 S COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6601
Mailing Address - Country:US
Mailing Address - Phone:303-757-3311
Mailing Address - Fax:303-757-3692
Practice Address - Street 1:2741 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6601
Practice Address - Country:US
Practice Address - Phone:303-757-3311
Practice Address - Fax:303-757-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC805381Medicare PIN
CO0258040001Medicare NSC