Vision Source Longmont, Pc

NPI 1104980234 - Optometrist - 152W00000X

NPI Details
NPI 1104980234
Enumeration Date 12/21/2006
Last Updated 03/06/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON L. JASON
Position OWNER
Phone (303) 772-2755
Fax
Practice Location
2130 MOUNTAIN VIEW AVENUE
SUITE 207
LONGMONT CO, 80501, US
Phone (303) 772-2755
Fax
Business Location
2130 MOUNTAIN VIEW AVENUE
SUITE 207
LONGMONT CO, 80501, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 857
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According to our database, Vision Source Longmont, Pc NPI is 1104980234, taxonomy code is 152W00000X and license number is 857, license state is located at Colorado. Vision Source Longmont, Pc physically located at 2130 Mountain View Avenue, Longmont CO, 80501. NPI Number 1033115704 has the healthcare provider type.

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1104980234 NPI number is provided on an as is basis without warranty of any kind. 1104980234 is maintained by the National Plan & Provider Enumeration System. The contents of Vision Source Longmont, Pc are for informational purposes only.