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General NPI Number Information
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NPI Number | 1003015819
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Entity Type | Organization
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Legal Business Name | INNOVATIVE EYECARE, INC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 10233 S PARKER RD STE D
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City | PARKER
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State | CO
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Zip | 80134-9314
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Country | US
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Telephone | 303-840-4949
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Fax | 303-840-0184
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Provider Business Mailing Address
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Address Line | 10233 S PARKER RD STE D
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City | PARKER
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State | CO
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Zip | 80134-9314
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Country | US
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Telephone | 303-840-4949
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Fax | 303-840-0184
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS E HANKENSON III
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Credential | OD
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Telephone | 303-840-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | CO1884
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License Number State | CO
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