MEDICARE: PEAK FAMILY EYE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2050	CO

General Provider Information

NPI Number	:	1023400066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK FAMILY EYE CARE

Provider Business Mailing Address
First Line	:	12191 W 64TH AVE STE 108
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-4030
Country	:	US
Telephone Number	:	303-996-3550
Fax Number	:	303-957-5683

Provider Business Practice Location Address
First Line	:	12191 W 64TH AVE STE 108
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-4030
Country	:	US
Telephone Number	:	303-996-3550
Fax Number	:	303-957-5683

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES JORDAN
Credential	:	OD
Telephone Number	:	303-996-3550

Provider Enumeration Date	:	02/27/2015
Last Update Date	:	02/27/2015

Similar Medicare Providers

1891788832 — DR. JAMES H JORDAN JR. O.D.
Practice Location Address:

12191W 64TH AVE 108
ARVADA, CO
80004-4030

Practice Phone: 303-996-3550
Practice Fax:

1992017339 — MRS. RACHAEL HUDSON LMT
Practice Location Address:

12191 W 64TH AVE STE 306
ARVADA, CO
80004-4030

Practice Phone: 303-249-8439
Practice Fax:

1669861050 — KRISTIN FLORES-MORRIS
Practice Location Address:

12191 W 64TH AVE STE 306
ARVADA, CO
80004-4030

Practice Phone: 303-920-2350
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1215460225 — STEPHANIE BARNETT LPC, ADC
Practice Location Address:

12191 W 64TH AVE STE 109
ARVADA, CO
80004-4030

Practice Phone: 720-917-4925
Practice Fax:

1649774589 — LAURA YOUNG LPC, NBCC
Practice Location Address:

12191 W 64TH AVE STE 111A
ARVADA, CO
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Practice Fax:

1720570088 — DAVID CHEN DDS
Practice Location Address:

12191 W 64TH AVE STE 202
ARVADA, CO
80004-4030

Practice Phone: 303-425-6022
Practice Fax:

Directions to “PEAK FAMILY EYE CARE ” Practice Location

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