Provider Demographics
NPI:1164254710
Name:EYECARE SPECIALTIES INC.
Entity type:Organization
Organization Name:EYECARE SPECIALTIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAPORALE-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-824-3488
Mailing Address - Street 1:460 PERSHING ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-2947
Mailing Address - Country:US
Mailing Address - Phone:970-824-3488
Mailing Address - Fax:
Practice Address - Street 1:365 ANGLERS DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-2020
Practice Address - Fax:970-879-4909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1821142332OtherNPI
CO1255974911OtherNPI
CO1275931370OtherNPI