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NPI Code Detail

MEDICARE: DR. ANNETTE MARIE BUTLER O.D.

MEDICARE: DR. ANNETTE MARIE BUTLER 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
1152W00000XOptometrist1345CO

General Provider Information

NPI Number : 1235323429
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNETTE MARIE BUTLER O.D.
Provider Business Mailing Address
First Line : 8500 E JEFFERSON AVE
Second Line : #11-J
City : DENVER
State : CO
Zip : 80237-1542
Country : US
Telephone Number : 303-779-8908
Fax Number : 303-721-9668
Provider Business Practice Location Address
First Line : 100 FILLMORE ST
Second Line : INSIDE EUROPTICS
City : DENVER
State : CO
Zip : 80206-4916
Country : US
Telephone Number : 303-321-3000
Fax Number : 303-321-8157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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