MEDICARE: APK CORPORATION

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	156FX1800X	Optician	41-79316-000	CO

General Provider Information

NPI Number	:	1477682011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APK CORPORATION

Provider Business Mailing Address
First Line	:	5116 S BROADWAY
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-6706
Country	:	US
Telephone Number	:	303-761-3285
Fax Number	:	303-761-3417

Provider Business Practice Location Address
First Line	:	5116 S BROADWAY
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-6706
Country	:	US
Telephone Number	:	303-761-3285
Fax Number	:	303-761-3417

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	MR. SUZANNE KARLQVIST
Credential	:	OD
Telephone Number	:	303-761-3285

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/15/2013

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Directions to “APK CORPORATION ” Practice Location

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