Provider Demographics
NPI:1831572965
Name:AIGNER, NATE PATRICK (OD)
Entity type:Individual
Prefix:DR
First Name:NATE
Middle Name:PATRICK
Last Name:AIGNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:320 E FONTANERO ST STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7525
Mailing Address - Country:US
Mailing Address - Phone:719-559-2020
Mailing Address - Fax:719-632-6088
Practice Address - Street 1:353 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-6605
Practice Address - Country:US
Practice Address - Phone:719-559-2020
Practice Address - Fax:719-632-6088
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078289152W00000X
COOPT.0003758152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist