OrganizationActive
Colorado Retina Associates, PLLC
NPI 1508435967 · Medical Specialty Clinic/Center · Denver, CO
Provider details
- NPI number
- 1508435967
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Colorado Retina Associates, PLLC
- Authorized official
- Kylie Wakasugi, Credentialing Specialist
Practice location
3401 Quebec St # 105
Denver, CO 80207-2322
Phone: (303) 261-1600
Fax: (303) 261-1601
Mailing address
Po Box 17949
Denver, CO 80217-0949
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.