| Heritage Vision Clinic | |
|
230 S Holland St, Lakewood, CO 80226-2837 | |
| (303) 431-8887 | |
| (303) 431-8992 |
| Full Name | Heritage Vision Clinic |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 230 S Holland St, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205390101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ty Christian Clase |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699144790 PECOS PAC ID: 6204175979 Enrollment ID: I20190226000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Vision Clinic 230 S Holland St, Lakewood, CO 80226-2837 Ph: (303) 431-8887 | Heritage Vision Clinic 230 S Holland St, Lakewood, CO 80226-2837 Ph: (303) 431-8887 |
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