MEDICARE: LITTLETON FAMILY EYECARE

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

General Provider Information

NPI Number	:	1154286144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLETON FAMILY EYECARE

Provider Business Mailing Address
First Line	:	1869 W LITTLETON BLVD FL 1
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-2020
Country	:	US
Telephone Number	:	303-919-5881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1869 W LITTLETON BLVD FL 1
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-2020
Country	:	US
Telephone Number	:	303-919-5881
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. PAUL MCHENRY
Credential	:	OD
Telephone Number	:	303-919-5881

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	01/27/2026

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