MEDICARE: HELLERSTEIN & BRENNER VISION CENTER P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WV0400X	Vision Therapy Optometrist
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1326264813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLERSTEIN & BRENNER VISION CENTER P.C.

Provider Business Mailing Address
First Line	:	7400 E ORCHARD RD
Second Line	:	SUITE 175-S
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2528
Country	:	US
Telephone Number	:	303-850-9499
Fax Number	:	303-850-7032

Provider Business Practice Location Address
First Line	:	7400 E ORCHARD RD
Second Line	:	SUITE 175-S
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2528
Country	:	US
Telephone Number	:	303-850-9499
Fax Number	:	303-850-7032

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LYNN F HELLERSTEIN
Credential	:	OD
Telephone Number	:	303-850-9499

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	06/30/2014

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