Provider Demographics
NPI:1447715214
Name:BEYER LASER CENTER
Entity type:Organization
Organization Name:BEYER LASER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-499-2020
Mailing Address - Street 1:1810 30TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1025
Mailing Address - Country:US
Mailing Address - Phone:303-499-2020
Mailing Address - Fax:303-554-5846
Practice Address - Street 1:1810 30TH ST STE B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1025
Practice Address - Country:US
Practice Address - Phone:303-499-2020
Practice Address - Fax:303-554-5846
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOULDEREYE/ BEYER LASIK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier