Healthcare Provider Details

I. General information

NPI: 1326988726
Provider Name (Legal Business Name): ONE GOOD EYE PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2594 TRAILRIDGE DR E
LAFAYETTE CO
80026-3186
US

IV. Provider business mailing address

2594 TRAILRIDGE DR E
LAFAYETTE CO
80026-3186
US

V. Phone/Fax

Practice location:
  • Phone: 303-449-7740
  • Fax:
Mailing address:
  • Phone: 303-449-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUMMER JANE WOODWARD
Title or Position: FAMILY NURSE PRATITIONER
Credential: DNP, APRN, FNP-C
Phone: 303-449-7740