MEDICARE: AN EYE FOR THE EYE, PC

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	2411	CO

General Provider Information

NPI Number	:	1851324222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AN EYE FOR THE EYE, PC

Provider Business Mailing Address
First Line	:	2839 IRVING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4057
Country	:	US
Telephone Number	:	303-881-4502
Fax Number	:

Provider Business Practice Location Address
First Line	:	2839 IRVING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4057
Country	:	US
Telephone Number	:	303-881-4502
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CRISTIN ELIA
Credential	:	OD
Telephone Number	:	303-881-4502

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	08/22/2020

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Directions to “AN EYE FOR THE EYE, PC ” Practice Location

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