Provider Demographics
NPI:1740858281
Name:NEWVISIONS,O.D.P.C
Entity type:Organization
Organization Name:NEWVISIONS,O.D.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:REID
Authorized Official - Last Name:CLAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:303-773-2020
Mailing Address - Street 1:7562 S UNIVERSITY BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3160
Mailing Address - Country:US
Mailing Address - Phone:303-773-2020
Mailing Address - Fax:303-773-2832
Practice Address - Street 1:7562 S UNIVERSITY BLVD STE I
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3160
Practice Address - Country:US
Practice Address - Phone:303-773-2020
Practice Address - Fax:303-773-2832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08961997Medicaid