Colorado Retina Associates, Pllc in Dallas - Retina Specialist
Colorado Retina Associates, Pllc - NPI 1790876159
Colorado Retina Associates, Pllc is a Retina Specialist in Dallas, Texas. Colorado Retina Associates, Pllc practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Colorado Retina Associates, Pllc is 1790876159. The last update date is 2023-02-03.
Colorado Retina Associates, Pllc's current location address is Po Box 736996, Dallas, Texas. You can contact this provider via phone number 3032611600 and fax number 3032611601. The mailing address for Colorado Retina Associates, Pllc is Po Box 736996, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Colorado Retina Associates, Pllc |
|---|---|
| Address | Po Box 736996, Dallas, Texas |
| Phone Number | 3032611600 |
| Fax Number | 3032611601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Wakasugi Kylie |
| Telephone Number | 3032611600 |
NPI Number Detail
| NPI Number | 1790876159 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2023-02-03 |
Provider Mailing Address Detail
| Address | Po Box 736996 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753736996 |
| Phone Number | 3032611600 |
| Fax Number | 3032611601 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9000197544 | CO | -- | |
| 74505807 | CO | -- | |
| 9000165843 | CO | -- | |
| 9000176494 | CO | -- | |
| 9000190491 | CO | -- | |
| 9000171077 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Colorado Retina Associates, Pllc by the Centers for Medicare & Medicaid Services?
The Colorado Retina Associates, Pllc has been issued the NPI (National Provider Identifier) 1790876159 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Colorado Retina Associates, Pllc's facilities are geographically located?
The facilities of Colorado Retina Associates, Pllc are physically situated at the following location: Po Box 736996, Dallas, TX, 753736996.
What is the Colorado Retina Associates, Pllc's specialty and taxonomy code?
The Colorado Retina Associates, Pllc's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.
On what date did Colorado Retina Associates, Pllc receive its 1790876159 assignment from the Centers for Medicare & Medicaid Services?
The Colorado Retina Associates, Pllc was assigned its 1790876159 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Colorado Retina Associates, Pllc most recently updated or revised?
The details related to Colorado Retina Associates, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2023-02-03.