Bagley, Michael Andrew

Bagley, Michael Andrew is an sole proprietor health care provider with primary practice located at 7975 Fountain Mesa Rd , Fountain CO 80817-1535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bagley, Michael Andrew can be contacted via phone (719) 573-2020.

Contact Information

Primary practice address
7975 Fountain Mesa Rd Fountain CO 80817-1535
Phone: (719) 573-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT.0003312 Colorado

Profile Details

NPI number 1114380482
LBN Legal business name Bagley, Michael Andrew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2016
Last updated Sep 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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