Healthcare Provider Details

I. General information

NPI: 1871402529
Provider Name (Legal Business Name): FRONT RANGE RETINA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WELLINGTON AVE STE 106
GRAND JUNCTION CO
81501-6130
US

IV. Provider business mailing address

3740 DACORO LN STE 145
CASTLE ROCK CO
80109-2504
US

V. Phone/Fax

Practice location:
  • Phone: 720-828-3937
  • Fax: 720-405-4355
Mailing address:
  • Phone: 720-828-3937
  • Fax: 720-405-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN M CHRISTIANSEN
Title or Position: OWNER
Credential:
Phone: 720-828-3937