Collegiate Peaks Eyecare Pllc

NPI 1184033490 - Optometrist - 152W00000X

NPI Details
NPI 1184033490
Enumeration Date 08/12/2014
Last Updated 06/23/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MATTHEW L MATTHEW
Position MANAGER
Phone (719) 581-4060
Fax (719) 631-2577
Practice Location
421 HWY 24 S
BUENA VISTA CO, 81211-3179, US
Phone (719) 581-4060
Fax (719) 631-2577
Business Location
PO BOX 3179
BUENA VISTA CO, 81211-3179, US
Phone (719) 581-4060
Fax (719) 631-2577
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 3040
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According to our database, Collegiate Peaks Eyecare Pllc NPI is 1184033490, taxonomy code is 152W00000X and license number is 3040, license state is located at Colorado. Collegiate Peaks Eyecare Pllc physically located at 421 Hwy 24 S, Buena Vista CO, 81211-3179. NPI Number 1033115704 has the healthcare provider type.

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1184033490 NPI number is provided on an as is basis without warranty of any kind. 1184033490 is maintained by the National Plan & Provider Enumeration System. The contents of Collegiate Peaks Eyecare Pllc are for informational purposes only.