Wiersma, David L

Wiersma, David L is an individual health care provider with primary practice located at 5555 E Arapahoe Rd , Centennial CO 80122-2312. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wiersma, David L can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
5555 E Arapahoe Rd Centennial CO 80122-2312
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1340 Colorado

Profile Details

NPI number 1326182106
LBN Legal business name Wiersma, David L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 18th, 2021 - about 3 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 1326182106 NPPES
Other 006757 KAISER-COMMERCIAL NUMBER
MEDICAID 80650091 KAISER-COMMERCIAL NUMBER

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