| Cortez Vision Pc | |
|
2423 E Main St Ste 4, Cortez, CO 81321-4269 | |
| (970) 565-2020 | |
| (970) 565-3632 |
| Full Name | Cortez Vision Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2423 E Main St Ste 4, Cortez, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992868194 | NPI | - | NPPES |
| 06979238 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2046 (Colorado) | Primary |
| 152W00000X | Optometrist | 904 (Colorado) | Secondary |
| 152W00000X | Optometrist | 2803 (Colorado) | Secondary |
| Provider Name | Bryce Tanner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609181148 PECOS PAC ID: 9436332442 Enrollment ID: I20110329000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Cortez Vision Pc Po Box 820, Cortez, CO 81321-0820 Ph: (970) 565-2020 | Cortez Vision Pc 2423 E Main St Ste 4, Cortez, CO 81321-4269 Ph: (970) 565-2020 |
Underwood Eye Care, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 22 S Beech St, Cortez, CO 81321 Phone: 970-739-6489 | |
William Howard Mollenkopf, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 N Market St, Cortez, CO 81321 Phone: 970-565-2020 Fax: 970-565-3632 | |
Robert Tyler Underwood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 S Beech St, Cortez, CO 81321 Phone: 970-565-7195 | |
Dr. Harold Lamar Riegle Jr., O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1835 E Main St, Cortez, CO 81321 Phone: 970-565-9024 | |
Kimberly Renee Starnes-parr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 N Market St, Cortez, CO 81321 Phone: 970-565-2020 Fax: 970-565-3632 | |
Craig L. Nelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 N. Beech St., Cortez, CO 81321 Phone: 970-565-7200 Fax: 970-565-8203 | |
Bryce Tanner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 North Market St, Cortez, CO 81321 Phone: 970-565-2020 Fax: 970-565-3632 |