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General NPI Number Information
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NPI Number | 1891818316
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Entity Type | Organization
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Legal Business Name | SUPERIOR EYE CARE PC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9948 W 99TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80021-4298
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Country | US
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Telephone | 303-931-5392
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W FLATIRON CIR SUITE 1104
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City | BROOMFIELD
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State | CO
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Zip | 80021-8881
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Country | US
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Telephone | 720-887-3737
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Fax | 720-887-6857
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Authorized Official
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Title or Position | OPTOMETRIST OWNER
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Name | ANNE M. METZGER
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Credential |
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Telephone | 303-931-5392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | CO 1838
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License Number State | CO
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