Healthcare Provider Details

I. General information

NPI: 1093386336
Provider Name (Legal Business Name): CHRISTINA MUNRO OD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 COMMONS ST
LONE TREE CO
80124-5547
US

IV. Provider business mailing address

9925 CLAIRTON WAY
HIGHLANDS RANCH CO
80126-4538
US

V. Phone/Fax

Practice location:
  • Phone: 303-799-6772
  • Fax: 303-799-6793
Mailing address:
  • Phone: 303-981-2238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA ROSE MUNRO
Title or Position: OPTOMETRIST
Credential: OD
Phone: 303-688-0826