MEDICARE: DENVER EYE SURGEONS, P.C.

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	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS9439	OTHER	CO	RAILROAD MC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	K2828	OTHER	CO	FEDERAL BXBS

General Provider Information

NPI Number	:	1770567364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER EYE SURGEONS, P.C.

Provider Business Mailing Address
First Line	:	13772 DENVER WEST PKWY
Second Line	:	BLDG#55 STE#100
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3139
Country	:	US
Telephone Number	:	303-279-6600
Fax Number	:	303-279-9140

Provider Business Practice Location Address
First Line	:	13772 DENVER WEST PKWY
Second Line	:	BLDG#55 STE#100
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3139
Country	:	US
Telephone Number	:	303-279-6600
Fax Number	:	303-279-9140

Authorized Official
Title or Position	:	CREDENTAILING
Name	:	MS. ALDEAN ESMAIL
Credential	:
Telephone Number	:	303-279-6600

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/01/2017

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Directions to “DENVER EYE SURGEONS, P.C. ” Practice Location

Language	Start Address	Practice Location

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