| Icon Eyecare | |
|
350 Indiana St Ste 220 Golden CO 80401-5050 | |
| (720) 524-1001 | |
| (720) 524-1121 |
| Full Name | Icon Eyecare |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Indiana St Ste 220, Golden, Colorado |
| Authorized Official Name and Position | Brett Ehrhardt (CFO) |
| Authorized Official Contact | 7203580218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icon Eyecare 3900 E Mexico Ave Ste 102 Denver CO 80210-3941 Ph: (480) 641-3937 | Icon Eyecare 350 Indiana St Ste 220 Golden CO 80401-5050 Ph: (720) 524-1001 |
| NPI Number | 1245814367 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245814367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 152W00000X | Optometrist | () | Secondary |
| 207W00000X | Ophthalmology | () | Secondary |
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