Organization · Type 2 NPI
Evergreen Vision Clinic, PC
Eyewear Supplier · Evergreen, CO
NPI number
1487741542
Active
Practice location
30960 Stagecoach Blvd # W200
Evergreen, CO 80439-7902
Fax (303) 670-4081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 1747 (CO) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other eyewear supplier providers in Evergreen
About NPI 1487741542
Evergreen Vision Clinic, PC's National Provider Identifier is 1487741542, issued on Oct 9, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Evergreen, CO. The record was last updated on Nov 2, 2007.