Provider Demographics
NPI:1811874597
Name:AHEIMER, BRIANNA (OD)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:AHEIMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 XANADU ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6560
Mailing Address - Country:US
Mailing Address - Phone:832-493-2515
Mailing Address - Fax:
Practice Address - Street 1:700 S BUCKLEY RD APT K
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3253
Practice Address - Country:US
Practice Address - Phone:720-762-4290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0004140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist