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NPI Code Detail

MEDICARE: DR. RACHELLE U TOLTZ O.D.

MEDICARE: DR. RACHELLE U TOLTZ 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
1152W00000XOptometrist1186CO

General Provider Information

NPI Number : 1720060817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHELLE U TOLTZ O.D.
Provider Business Mailing Address
First Line : 6369 S EMPORIA CIR
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80111-5527
Country : US
Telephone Number : 303-721-9544
Fax Number :
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 : 11/15/2005
Last Update Date : 07/08/2007

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