Provider Demographics
NPI:1376134817
Name:ALEX ZEMKE, OD, PLLC DBA INSIGHT EYECARE CENTER
Entity type:Organization
Organization Name:ALEX ZEMKE, OD, PLLC DBA INSIGHT EYECARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AGNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-646-4046
Mailing Address - Street 1:7335 SOUTH PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128
Mailing Address - Country:US
Mailing Address - Phone:303-932-1919
Mailing Address - Fax:720-981-4250
Practice Address - Street 1:7335 SOUTH PIERCE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4571
Practice Address - Country:US
Practice Address - Phone:303-932-1919
Practice Address - Fax:720-981-4250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEX ZEMKE, OD, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-28
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty