MEDICARE: BENT LENS INC

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	152W00000X	Optometrist	1844	CO

General Provider Information

NPI Number	:	1700242963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENT LENS INC

Provider Business Mailing Address
First Line	:	1415 LARIMER ST
Second Line	:	SUITE 101
City	:	DENVER
State	:	CO
Zip	:	80202-1743
Country	:	US
Telephone Number	:	720-956-1078
Fax Number	:	720-956-1081

Provider Business Practice Location Address
First Line	:	1415 LARIMER ST
Second Line	:	SUITE 101
City	:	DENVER
State	:	CO
Zip	:	80202-1743
Country	:	US
Telephone Number	:	720-956-1078
Fax Number	:	720-956-1081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TODD N TORREY
Credential	:	OD
Telephone Number	:	720-956-1078

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	03/08/2016

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