Healthcare Provider Details
I. General information
NPI: 1609560564
Provider Name (Legal Business Name): MOUNTAIN EYE PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2023
Last Update Date: 11/28/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9896 ROSEMONT AVE STE 204
LONE TREE CO
80124-4105
US
IV. Provider business mailing address
9896 ROSEMONT AVE STE 204
LONE TREE CO
80124-4105
US
V. Phone/Fax
- Phone: 720-994-3937
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0110X |
| Taxonomy | Pediatric Ophthalmology and Strabismus Specialist Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0120X |
| Taxonomy | Cornea and External Diseases Specialist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JASLEEN
SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 720-994-3937