Cushing, Stanley R

Cushing, Stanley R is an individual health care provider with primary practice located at 2480 S Downing St Ste G-30, Denver CO 80210-5890. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cushing, Stanley R can be contacted via phone (303) 777-3277.

Contact Information

Primary practice address
2480 S Downing St Ste G-30 Denver CO 80210-5890
Fax: (303) 698-9713
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 984 Colorado

Profile Details

NPI number 1710985338
LBN Legal business name Cushing, Stanley R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Sep 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1710985338 NPPES
Colorado MEDICAID 08009847

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