EASTLAKE VISION CLINIC PC
NPI 1801071709
Optometrist in Thornton, CO

Q: What is Eastlake Vision Clinic PC's NPI number?

The NPI number for Eastlake Vision Clinic PC is 1801071709. It was assigned to this organization in the NPPES registry on January 9, 2008.

Q: What is Eastlake Vision Clinic PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 09, 2008

12450 YORK ST, THORNTON, CO 80241(303) 452-2020(303) 452-0934 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eastlake Vision Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTLAKE VISION CLINIC PC (NPI 1801071709) is a healthcare organization registered as an optometrist in Thornton, Colorado and active in the NPI registry since January 2008. The organization lists Stanley R Black, President, as its authorized official.

NPPES Registry Identity

NPI1801071709

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEASTLAKE VISION CLINIC PC

Location Address12450 YORK STThornton, CO 80241-2741

Mailing Address12450 York StThornton, CO 80241-2741 · (303) 452-2020 · Fax (303) 452-0934

Phone(303) 452-2020

Fax(303) 452-0934

Organization SubpartNo

Authorized OfficialStanley R BlackPresident · (303) 452-2020

Enumeration DateJanuary 9, 2008

Last NPPES UpdateFebruary 5, 2008

✔ NPI 1801071709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CO · 830

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

12450 YORK ST, Thornton, CO 80241

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Other Identifiers 2

Medicare PINC459748CO

Medicare NSC0683620001CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY SILBERT HOLTZMAN OD

Optometrist