Healthcare Provider Details

I. General information

NPI: 1073421715
Provider Name (Legal Business Name): EYE CARE ASSOCIATES OF CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MAIN ST
FRISCO CO
80443-5487
US

IV. Provider business mailing address

PO BOX 879
FORT WASHINGTON PA
19034-0879
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-2020
  • Fax: 970-668-0192
Mailing address:
  • Phone: 866-523-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID DEPPEN
Title or Position: DIRECTOR RCM
Credential:
Phone: 937-539-8057