Eaton Vision Clinic Llc

NPI 1376612143 - Optometrist - 152W00000X

NPI Details
NPI 1376612143
Enumeration Date 11/07/2006
Last Updated 08/07/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL C MICHAEL
Position PARTNER
Phone (970) 454-3387
Fax (970) 454-3380
Practice Location
215 ELM AVE
EATON CO, 80615-3428, US
Phone (970) 454-3387
Fax (970) 454-3380
Business Location
215 ELM AVE
EATON CO, 80615-3428, US
Phone (970) 454-3387
Fax (970) 454-3380
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number OPT 1014
Remove 1376612143 NPI Number
 

According to our database, Eaton Vision Clinic Llc NPI is 1376612143, taxonomy code is 152W00000X and license number is OPT 1014, license state is located at Colorado. Eaton Vision Clinic Llc physically located at 215 Elm Ave, Eaton CO, 80615-3428. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1376612143 NPI number is provided on an as is basis without warranty of any kind. 1376612143 is maintained by the National Plan & Provider Enumeration System. The contents of Eaton Vision Clinic Llc are for informational purposes only.