Healthcare Provider Details

I. General information

NPI: 1326264813
Provider Name (Legal Business Name): HELLERSTEIN & BRENNER VISION CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E ORCHARD RD SUITE 175-S
GREENWOOD VILLAGE CO
80111-2528
US

IV. Provider business mailing address

7400 E ORCHARD RD SUITE 175-S
GREENWOOD VILLAGE CO
80111-2528
US

V. Phone/Fax

Practice location:
  • Phone: 303-850-9499
  • Fax: 303-850-7032
Mailing address:
  • Phone: 303-850-9499
  • Fax: 303-850-7032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNN F HELLERSTEIN
Title or Position: PRESIDENT
Credential: OD
Phone: 303-850-9499