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NPI Code Detail

MEDICARE: HIP HOPTICAL LLC

MEDICARE: HIP HOPTICAL LLC
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
1156FX1800XOptician

General Provider Information

NPI Number : 1528308673
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIP HOPTICAL LLC
Provider Business Mailing Address
First Line : 1440 W 29TH ST
Second Line : #200
City : LOVELAND
State : CO
Zip : 80538-2459
Country : US
Telephone Number : 720-505-3937
Fax Number :
Provider Business Practice Location Address
First Line : 1440 W 29TH ST
Second Line : #200
City : LOVELAND
State : CO
Zip : 80538-2459
Country : US
Telephone Number : 720-505-3937
Fax Number :
Authorized Official
Title or Position : OPTICIAN/OWNER
Name : MR. DYLAN O'BRIEN
Credential :
Telephone Number : 970-624-9019
Provider Enumeration Date : 02/27/2013
Last Update Date : 02/27/2013

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Directions to “HIP HOPTICAL LLC ” Practice Location

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