Provider Demographics
NPI:1972257319
Name:SOUTHWEST PLAZA VISION ASSOCIATES PLLC
Entity type:Organization
Organization Name:SOUTHWEST PLAZA VISION ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-979-1550
Mailing Address - Street 1:8501 W BOWLES AVE STE 1188
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6907
Mailing Address - Country:US
Mailing Address - Phone:303-979-1550
Mailing Address - Fax:303-979-1850
Practice Address - Street 1:8501 W BOWLES AVE STE 1188
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-6907
Practice Address - Country:US
Practice Address - Phone:303-979-1550
Practice Address - Fax:303-979-1850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service