Healthcare Provider Details

I. General information

NPI: 1356520381
Provider Name (Legal Business Name): DOROTHY M PARROTT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 UNION BLVD STE 210
LAKEWOOD CO
80228-1535
US

IV. Provider business mailing address

300 UNION BLVD STE 210
LAKEWOOD CO
80228
US

V. Phone/Fax

Practice location:
  • Phone: 303-986-9554
  • Fax: 303-986-2001
Mailing address:
  • Phone: 303-986-9554
  • Fax: 303-986-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number658
License Number StateCO

VIII. Authorized Official

Name: DR. DOROTHY M PARROTT
Title or Position: OWNER
Credential: O.D.
Phone: 303-986-9554