Provider Demographics
NPI:1336221571
Name:COLORADO VISION SPECIALISTS, PC
Entity Type:Organization
Organization Name:COLORADO VISION SPECIALISTS, PC
Other - Org Name:COLORADO EYE GALLERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GURPREET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:DEOL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:720-887-6066
Mailing Address - Street 1:1 W FLATIRON CIR
Mailing Address - Street 2:SUITE 2052
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8881
Mailing Address - Country:US
Mailing Address - Phone:720-887-6066
Mailing Address - Fax:720-887-5866
Practice Address - Street 1:1 W FLATIRON CIR
Practice Address - Street 2:SUITE 2052
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8881
Practice Address - Country:US
Practice Address - Phone:720-887-6066
Practice Address - Fax:720-887-5866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty