Healthcare Provider Details

I. General information

NPI: 1679153076
Provider Name (Legal Business Name): RUNNING CREEK VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 PARK MEADOWS CENTER DR STE 2213
LONE TREE CO
80124-5067
US

IV. Provider business mailing address

8505 PARK MEADOWS CENTER DR STE 2213
LONE TREE CO
80124-5067
US

V. Phone/Fax

Practice location:
  • Phone: 303-565-7019
  • Fax: 303-568-6380
Mailing address:
  • Phone: 303-565-7019
  • Fax: 303-568-6380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHRISTOPHER THOMAS
Title or Position: OD, OWNER
Credential: OD
Phone: 720-219-7721