Provider Demographics
NPI:1649450529
Name:STARR, AMMAN JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:AMMAN
Middle Name:JAMES
Last Name:STARR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 14TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6341
Mailing Address - Country:US
Mailing Address - Phone:970-587-3937
Mailing Address - Fax:
Practice Address - Street 1:114 14TH ST SW
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6341
Practice Address - Country:US
Practice Address - Phone:970-587-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60274075152W00000X
CO3552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000182555Medicaid