Demoss, Jean Louise

Demoss, Jean Louise is an individual health care provider with primary practice located at 4875 Ward Road Suite 600, Wheat Ridge CO 80033. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Demoss, Jean Louise can be contacted via phone (303) 456-9456.

Contact Information

Primary practice address
4875 Ward Road Suite 600 Wheat Ridge CO 80033
Phone: (303) 456-9456
Fax: (303) 463-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X OPT.0002106 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X 2106 Colorado

Profile Details

NPI number 1093750424
LBN Legal business name Demoss, Jean Louise
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093750424 NPPES
Colorado MEDICAID 10851356

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