Individual provider · Type 1 NPI

Kelly Bourgon, OD

Optometrist · Longmont, CO

NPI number 1194213751 Active

Practice location

412 Main St
Longmont, CO 80501-5535

Mailing address

1768 S Taft Ave Apt 103
Loveland, CO 80537-7291

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XTUV008844 (NY)
Optometrist Primary 152W00000X3557 (CO)

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 e…

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About NPI 1194213751

Kelly Bourgon, OD's National Provider Identifier is 1194213751, issued on Apr 28, 2018. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Longmont, CO. The record was last updated on Jan 30, 2023.