Healthcare Provider Details
I. General information
NPI: 1639367360
Provider Name (Legal Business Name): DIMENSIONS IN SIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2007
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7180 E ORCHARD RD STE 103
CENTENNIAL CO
80111-1725
US
IV. Provider business mailing address
7180 E ORCHARD RD STE 103
CENTENNIAL CO
80111-1725
US
V. Phone/Fax
- Phone: 303-850-0924
- Fax: 303-850-7032
- Phone: 303-850-0924
- Fax: 303-850-7032
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | CO |
VIII. Authorized Official
Name:
LYNN
HELLERSTEIN
Title or Position: MEMBERS
Credential:
Phone: 303-850-9499