Mamalis, George
Mamalis, George is an individual health care provider with primary practice located at 255 Union Blvd Ste 310 , Lakewood CO 80228-1863. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mamalis, George can be contacted via phone (303) 985-0004.Contact Information
Primary practice address
255 Union Blvd Ste 310
Lakewood CO 80228-1863
Phone: (303) 985-0004
Fax: (303) 985-0037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1316 | Colorado |
Profile Details
| NPI number | 1275501967 |
|---|---|
| LBN Legal business name | Mamalis, George |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275501967 | NPPES |
| Colorado | Other | 1316 | STATE LICENSE NO |
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