Goebel, Richard M

Goebel, Richard M is an individual health care provider with primary practice located at 101 W 84Th Ave Ste 240, Thornton CO 80260-4807. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goebel, Richard M can be contacted via phone (303) 426-5550.

Contact Information

Primary practice address
101 W 84Th Ave Ste 240 Thornton CO 80260-4807
Fax: (303) 426-1180
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 813 Colorado

Profile Details

NPI number 1497741151
LBN Legal business name Goebel, Richard M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 18 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 1497741151 NPPES
Colorado MEDICAID 08008138

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