Provider Demographics
NPI:1447829916
Name:CANAS, YESSICA G (OD)
Entity type:Individual
Prefix:DR
First Name:YESSICA
Middle Name:G
Last Name:CANAS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:6120 FIRESTONE BLVD UNIT 403
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6475
Mailing Address - Country:US
Mailing Address - Phone:720-966-2020
Mailing Address - Fax:720-966-2021
Practice Address - Street 1:6120 FIRESTONE BLVD UNIT 403
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6475
Practice Address - Country:US
Practice Address - Phone:720-966-2020
Practice Address - Fax:720-966-2021
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COOPT0003707152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist