Provider Demographics
NPI:1962064055
Name:THE DENVER OPHTHALMOLOGY CENTER, INC.
Entity type:Organization
Organization Name:THE DENVER OPHTHALMOLOGY CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-991-9662
Mailing Address - Street 1:850 ENGLEWOOD PKWY STE 100A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-7328
Mailing Address - Country:US
Mailing Address - Phone:303-991-9662
Mailing Address - Fax:
Practice Address - Street 1:850 ENGLEWOOD PKWY STE 100A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-7328
Practice Address - Country:US
Practice Address - Phone:303-991-9662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENVER OPHTHALMOLOGY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-28
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty