Healthcare Provider Details

I. General information

NPI: 1528191772
Provider Name (Legal Business Name): THOMAS P. LARKIN M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 S DOWNING ST SUITE 100
DENVER CO
80210-5890
US

IV. Provider business mailing address

2480 S DOWNING ST SUITE 100
DENVER CO
80210-5890
US

V. Phone/Fax

Practice location:
  • Phone: 303-777-5455
  • Fax: 303-777-1175
Mailing address:
  • Phone: 303-777-5455
  • Fax: 303-777-1175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number18825
License Number StateCO

VIII. Authorized Official

Name: DR. THOMAS PATRICK LARKIN
Title or Position: MD OWNER
Credential: MD
Phone: 303-777-5455