Healthcare Provider Details

I. General information

NPI: 1275656498
Provider Name (Legal Business Name): KIMBERLY ANN BROWNFIELD O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 E PRENTICE AVE SUITE 1200
GREENWOOD VILLAGE CO
80111-2912
US

IV. Provider business mailing address

11835 E FAIR AVE
CENTENNIAL CO
80111-5716
US

V. Phone/Fax

Practice location:
  • Phone: 303-793-3000
  • Fax: 303-793-3008
Mailing address:
  • Phone: 720-528-9819
  • Fax: 303-793-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number2227
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: