Dr Michael Andrew Bagley, OD | |
5900 Keyes St Ste 101, Frederick, CO 80504-5956 | |
(303) 833-1056 | |
Not Available |
Full Name | Dr Michael Andrew Bagley |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 5900 Keyes St Ste 101, Frederick, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114380482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.0003312 (Colorado) | Primary |
Provider Name | Abba Eye Care Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952301129 PECOS PAC ID: 1355231051 Enrollment ID: O20040317000504 |
Provider Name | Carbon Valley Eye Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235558065 PECOS PAC ID: 1557585528 Enrollment ID: O20141112001014 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Andrew Bagley, OD 5900 Keyes St Ste 101, Frederick, CO 80504-5956 Ph: (303) 833-1056 | Dr Michael Andrew Bagley, OD 5900 Keyes St Ste 101, Frederick, CO 80504-5956 Ph: (303) 833-1056 |
Carbon Valley Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 Fax: 303-833-1057 | |
Taylor Kiyota Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 | |
Mr. Michael Edward Koditek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 Fax: 303-833-1057 | |
Dr. Jeffrey Berger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 |