Provider Demographics
NPI:1871148551
Name:HIGH PLAINS EYE CARE INC
Entity type:Organization
Organization Name:HIGH PLAINS EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:HITE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:720-499-8349
Mailing Address - Street 1:15209 E 103RD PL
Mailing Address - Street 2:UNIT 1200
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80701
Mailing Address - Country:US
Mailing Address - Phone:720-499-8349
Mailing Address - Fax:303-955-5521
Practice Address - Street 1:6255 QUEBEC PKWY STE 1100
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-4812
Practice Address - Country:US
Practice Address - Phone:303-286-4980
Practice Address - Fax:303-286-4981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty