1699860171 NPI number — MAY EYE CARE INCORPORATED

Table of content: (NPI 1699860171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699860171 NPI number — MAY EYE CARE INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAY EYE CARE INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699860171
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 W. 144TH AVE.
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80023-9322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-428-9696
Provider Business Mailing Address Fax Number:
303-426-9526

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 WEST 144TH AVE
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80023-9322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-428-9696
Provider Business Practice Location Address Fax Number:
303-426-9526
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAY
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-428-9696

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  42105 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P3297869 . This is a "OXFORD HEALTH" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: P00075597 . This is a "RR PTAN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 0141000 . This is a "WELLCARE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 61034215 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 58185275 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7319532 . This is a "AETNA" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 920779020939 . This is a "PACIFICARE" identifier . This identifiers is of the category "OTHER".




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