Healthcare Provider Details

I. General information

NPI: 1861292146
Provider Name (Legal Business Name): AMANDA ESLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27122 MAIN ST # 220
CONIFER CO
80433-8559
US

IV. Provider business mailing address

784 URBAN ST
LAKEWOOD CO
80401-4713
US

V. Phone/Fax

Practice location:
  • Phone: 303-838-9165
  • Fax:
Mailing address:
  • Phone: 616-644-4727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0004196
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: