Healthcare Provider Details

I. General information

NPI: 1386565042
Provider Name (Legal Business Name): PRIMEEYES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 MARKET ST STE 120
DENVER CO
80202-3032
US

IV. Provider business mailing address

1641 MARKET ST STE 120
DENVER CO
80202-3032
US

V. Phone/Fax

Practice location:
  • Phone: 720-612-1337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: STACEY MARIE HARRIS
Title or Position: OWNER
Credential: OPTICIAN
Phone: 720-447-1007