Healthcare Provider Details
I. General information
NPI: 1174848105
Provider Name (Legal Business Name): URBAN EYES VISION CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3459 W 32ND AVE
DENVER CO
80211-3103
US
IV. Provider business mailing address
3459 W 32ND AVE
DENVER CO
80211-3103
US
V. Phone/Fax
- Phone: 303-433-5820
- Fax: 303-433-5869
- Phone: 303-433-5820
- Fax: 303-433-5869
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | OPT1757 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
ALPA
ARVIND
PATEL
Title or Position: OPTOMETRIST/OWNER
Credential: O.D.
Phone: 303-433-5820