Colorado Retina Associates, Pc

LBN: Colorado Retina Associates, Pllc
Colorado Retina Associates, Pc is an health care organization with primary practice located at 400 Indiana St Ste 310 , Golden CO 80401-5033. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Colorado Retina Associates, Pllc can be contacted via phone (303) 261-1600, or through Wakasugi, Kylie via phone (303) 261-1600.

Contact Information

Primary practice address
400 Indiana St Ste 310 Golden CO 80401-5033
Phone: (303) 261-1600
Fax: (303) 261-1601
Website:
Map and Directions
Authorized official contact:
Name: Wakasugi, Kylie
Phone: (303) 261-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X
Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease 207WX0108X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1154955896
LBN Legal business name Colorado Retina Associates, Pllc
DBA Doing business as Colorado Retina Associates, Pc
Authorized official Wakasugi, Kylie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2020
Last updated Dec 2nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154955896 NPPES
Colorado MEDICAID 05958008

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