MEDICARE: DR. ERIC TOPPEN O.D.

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	046009801	IL

General Provider Information

NPI Number	:	1033220363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC TOPPEN O.D.

Provider Business Mailing Address
First Line	:	4321 W 44TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2302
Country	:	US
Telephone Number	:	303-353-4007
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 W 44TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2302
Country	:	US
Telephone Number	:	303-353-4007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/29/2019

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