Provider Demographics
NPI:1306926753
Name:STEINBRECHER, MARK ALAN (OD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALAN
Last Name:STEINBRECHER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:9690 BELLMORE LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80126-4971
Mailing Address - Country:US
Mailing Address - Phone:720-301-2954
Mailing Address - Fax:509-463-2891
Practice Address - Street 1:14500 W COLFAX AVE
Practice Address - Street 2:STE 309
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3203
Practice Address - Country:US
Practice Address - Phone:720-301-2954
Practice Address - Fax:509-463-2891
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2999152W00000X
WI3006152W00000X
CO1911152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN22-02799OtherMEDICA
MN2265008OtherUNITED HEALTH CARE
MN38625800OtherGROUP HEALTH
MN7286215OtherAETNA
MN132715OtherU CARE
MN430L8STOtherBLUE CROSS BLUE SHEILD
MN647281043269OtherPREFFERED ONE
MN647281043269OtherPREFFERED ONE