Provider Demographics
NPI:1750804134
Name:SEIDEN, TAZIA (OD)
Entity type:Individual
Prefix:
First Name:TAZIA
Middle Name:
Last Name:SEIDEN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 S 27TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2662
Mailing Address - Country:US
Mailing Address - Phone:303-654-7933
Mailing Address - Fax:
Practice Address - Street 1:193 S 27TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2662
Practice Address - Country:US
Practice Address - Phone:303-654-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK2921152W00000X
COOPT.0004005152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist