Provider Demographics
NPI:1154667376
Name:HUGHES EYE CARE CORP.
Entity type:Organization
Organization Name:HUGHES EYE CARE CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:307-760-5592
Mailing Address - Street 1:8850 W 58TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2252
Mailing Address - Country:US
Mailing Address - Phone:303-421-8990
Mailing Address - Fax:
Practice Address - Street 1:8850 W 58TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2252
Practice Address - Country:US
Practice Address - Phone:303-421-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-15
Last Update Date:2012-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2895152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty