Provider Demographics
NPI:1881332914
Name:VAN METER, ERIC (OD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:VAN METER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 E BRIARWOOD CIR UNIT 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1781
Mailing Address - Country:US
Mailing Address - Phone:303-699-3107
Mailing Address - Fax:
Practice Address - Street 1:15901 E BRIARWOOD CIR UNIT 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1781
Practice Address - Country:US
Practice Address - Phone:303-699-3107
Practice Address - Fax:303-699-3170
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CO3795152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program