DR. GEORGE MAMALIS (NPI# 1275501967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275501967 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MAMALIS |
| Credential | O.D. |
| Practice Address |
255 Union Blvd Ste 310 Lakewood CO 80228-1863 |
| Practice Telephone | 3039850004 |
| Practice Fax Number | 3039850037 |
| Mailing Telephone | 3039850004 |
| Mailing Fax Number | 3039850037 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1316 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE NO | 1316 | 01 |
| Street Address |
255 UNION BLVD STE 310 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982778130 | Thomas J Benenati | Podiatrist | 255 Union Blvd Ste 310, Lakewood, CO 80228-1863 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1811515075 | Lindee Jo Lorig | Optometrist | 5216 Montair Ave, Lakewood, CA 90712-2749 | 2020-07-13 |
| 1013564228 | National Vision Inc | Optometrist | 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226-1552 | 2019-08-22 |
| 1700439528 | Cody F. Jackson | Optometrist | 14500 W Colfax Ave Unit 524, Lakewood, CO 80401-3235 | 2019-07-21 |
| 1710548904 | Metrowest Eye Associates, P.C. | Optometrist | 8585 W 14th Ave Ste C, Lakewood, CO 80215-4860 | 2019-06-27 |
| 1770033466 | Joel Matoba | Optometrist | 200 Union Blvd Ste 415, Lakewood, CO 80228-1832 | 2016-10-06 |
| 1275985616 | Lauren Sowash | Optometrist | 355 S Wadsworth Blvd Unit D, Lakewood, CO 80226-3136 | 2016-07-11 |
| 1548610066 | Brett Igbinoba | Optometrist | 9101 Bridgeport Way Sw Ste C, Lakewood, WA 98499-2419 | 2016-06-15 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1043604051 | Dr. Phung Quach, Od Inc. | Optometrist | 11421 Carson St Ste F, Lakewood, CA 90715-2500 | 2015-03-27 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.