Riley, Stacy Lynnette

Riley, Stacy Lynnette is an individual health care provider with primary practice located at 15530 E Broncos Pkwy Suite 200, Centennial CO 80112-7111. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Riley, Stacy Lynnette can be contacted via phone (303) 766-2020.

Contact Information

Primary practice address
15530 E Broncos Pkwy Suite 200 Centennial CO 80112-7111
Phone: (303) 766-2020
Fax: (303) 680-8337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 99183099 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X OPT.0001830 Colorado

Profile Details

NPI number 1881742070
LBN Legal business name Riley, Stacy Lynnette
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Sep 14th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881742070 NPPES
Colorado MEDICAID 08183097

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