Classique Vision, LLC
Organization Active NPI Optician · Peyton, CO
NPI 1003167941 · NPPES record last updated Oct 1, 2012
Key facts
- NPI
- 1003167941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 150964
- Legal business name
- CLASSIQUE VISION, LLC
- Practice address
- 12208 Chimney Smoke Dr
Peyton, CO 80831-8484 - Phone
- (719) 623-7876
- Fax
- (719) 445-0130
- NPI assigned
- Oct 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Baby Jane Faytaren, O.D.
- Title
- Chief Financial Officer
- Phone
- (719) 623-7876
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 150964 | Yes |
Addresses
Primary practice location
12208 Chimney Smoke Dr
Peyton, CO 80831-8484
Mailing address
12208 Chimney Smoke Dr
Peyton, CO 80831-8484
Phone (719) 623-7876
Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.