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NPI Code Detail

MEDICARE: SCOTT OLIVER MD

MEDICARE: SCOTT OLIVER MD
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
1207W00000XOphthalmology Physician46779CO
2207WX0107XRetina Specialist (Ophthalmology) Physician46779CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336173772
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT OLIVER MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number : 303-493-7000
Fax Number :
Provider Business Practice Location Address
First Line : 12605 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-2545
Country : US
Telephone Number : 720-848-2020
Fax Number : 720-848-5079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/30/2017

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Directions to “ SCOTT OLIVER MD” Practice Location

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