Provider Demographics
NPI:1992954127
Name:SPECS APPEAL, INC.
Entity type:Organization
Organization Name:SPECS APPEAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:STRUM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-798-7520
Mailing Address - Street 1:6905 S BROADWAY
Mailing Address - Street 2:SUITE 51
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8013
Mailing Address - Country:US
Mailing Address - Phone:303-798-7520
Mailing Address - Fax:303-798-1503
Practice Address - Street 1:6905 S BROADWAY
Practice Address - Street 2:SUITE 51
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8013
Practice Address - Country:US
Practice Address - Phone:303-798-7520
Practice Address - Fax:303-798-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO936152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT60767Medicare UPIN
COCOB4220Medicare PIN