Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastlake Vision Clinic PC

Organization Optometrist · NPI 1801071709

Eastlake Vision Clinic PC is an Optometrist in Thornton, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12450 York St
Thornton, CO 80241-2741
Phone: (303) 452-2020
Fax: (303) 452-0934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 830 (CO)

Record details

NPI number1801071709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Black — President · (303) 452-2020
NPI enumeratedJanuary 9, 2008
Last updated in NPPESFebruary 5, 2008
Mailing address12450 York St, Thornton, CO 80241-2741

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