MILE HIGH MOBILE OPTICAL, INC (NPI# 1588837041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588837041 |
| Entity Type | Organization |
| Organization Name | MILE HIGH MOBILE OPTICAL, INC |
| Practice Address |
530 S Otis St Lakewood CO 80226-3446 |
| Practice Telephone | 3039366799 |
| Practice Fax Number | 3039365932 |
| Mailing Telephone | 3039366799 |
| Mailing Fax Number | 3039365932 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | MR. KELLEY R PATTON (PRESIDENT) |
| Authorized Official Telephone | 3039366799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI TYPE 1 | 1184745689 | 01 |
| Street Address |
530 S OTIS ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184745689 | Kelley R Patton | Technician/Technologist | 530 S Otis St, Lakewood, CO 80226-3446 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| 1720223647 | Dr. Scotts Optical #2 | Eyewear Supplier (Equipment, not the service) | 98 Wadsworth Blvd, Suite 122, Lakewood, CO 80226-1550 | 2008-12-05 |
| 1558559120 | Eye Studio, Inc. | Eyewear Supplier (Equipment, not the service) | 2099 Wadsworth Blvd, Suite L, Lakewood, CO 80214-5740 | 2007-10-09 |
| 1932253382 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 63 Lakewood Center Mall, Lakewood, CA 90712 | 2007-01-23 |
| 1457446551 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 14500 W Colfax Ave Unit 309, Lakewood, CO 80401-3229 | 2006-10-04 |
| 1285643023 | Denver Eye Center Optical | Eyewear Supplier (Equipment, not the service) | 13772 Denver West Parkway, Lakewood, CO 80401-3139 | 2006-08-07 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1144241241 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 67 Lakewood Center Mall, Lakewood, CA 90712-2417 | 2006-07-22 |
| 1083630230 | Sowash Optometry Group PC | Eyewear Supplier (Equipment, not the service) | 14500 W Colfax Ave, 524, Lakewood, CO 80401-3203 | 2006-07-14 |
| 1417989963 | Consolidated Vision Group | Eyewear Supplier (Equipment, not the service) | 10705 South Colfax Avenue, Westland Town Center, Lakewood, CO 80215 | 2006-07-07 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.