Colorado Retina Associates, Pllc

NPI #1154955896 in Golden, Colorado

Provider Information

NPI Number: 1154955896
Entity Type: Organization
Organization Name: Colorado Retina Associates, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO RETINA ASSOCIATES, PLLC
Primary Specialty: Clinic/Center - Medical Specialty
Enumeration Date: Mar 2, 2020
Last Updated: Oct 2, 2024

Practice Location

Address: 400 INDIANA ST STE 310
City: Golden
State: Colorado
ZIP Code: 80401-5033
Phone: (303) 261-1600

Authorized Official

Name: KYLIE ESPINOZA
Title: CREDENTIALING SPECIALIST
Phone: (303) 261-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology - Uveitis and Ocular Inflammatory Disease — Uveitis and Ocular Inflammatory Disease	207WX0108X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X	Primary

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