Provider Demographics
NPI:1851477681
Name:ALEVRAS-SZTUKOWSKI, VASI (OD)
Entity Type:Individual
Prefix:DR
First Name:VASI
Middle Name:
Last Name:ALEVRAS-SZTUKOWSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VASI
Other - Middle Name:P
Other - Last Name:ALEVRAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:8586 E ARAPAHOE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1433
Mailing Address - Country:US
Mailing Address - Phone:303-771-4221
Mailing Address - Fax:303-721-7759
Practice Address - Street 1:8586 E ARAPAHOE RD
Practice Address - Street 2:STE 100
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1433
Practice Address - Country:US
Practice Address - Phone:303-771-4221
Practice Address - Fax:303-721-7759
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1894152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU75616Medicare UPIN
318408YMBMedicare PIN