Colorado Retina Associates, Pllc

NPI #1790876159 in Lakewood, Colorado

Provider Information

NPI Number: 1790876159
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: Sep 28, 2006
Last Updated: Oct 2, 2024

Practice Location

Address: 255 S ROUTT ST STE 200
City: Lakewood
State: Colorado
ZIP Code: 80228-2271
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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