Provider Demographics
NPI:1447821210
Name:COLORADO EYE ASSOCIATES
Entity type:Organization
Organization Name:COLORADO EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-422-2305
Mailing Address - Street 1:5374 N HONDO DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-9343
Mailing Address - Country:US
Mailing Address - Phone:801-645-4572
Mailing Address - Fax:928-772-1279
Practice Address - Street 1:7950 KIPLING ST STE 203
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3928
Practice Address - Country:US
Practice Address - Phone:801-645-4572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty