Provider Demographics
NPI:1992089239
Name:BD EYES, LLC
Entity type:Organization
Organization Name:BD EYES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-840-2118
Mailing Address - Street 1:11211 S DRANSFELDT RD STE 125
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9388
Mailing Address - Country:US
Mailing Address - Phone:303-840-2118
Mailing Address - Fax:303-840-7095
Practice Address - Street 1:11211 S DRANSFELDT RD STE 125
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9388
Practice Address - Country:US
Practice Address - Phone:303-840-2118
Practice Address - Fax:303-840-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2860152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty