Dr Justin Daniel Deal, OD | |
1200 S Hover St, Longmont, CO 80501-7902 | |
(303) 845-4215 | |
(303) 682-8181 |
Full Name | Dr Justin Daniel Deal |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 13 Years |
Location | 1200 S Hover St, Longmont, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134400054 | NPI | - | NPPES |
54686270 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2875 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optometric Associates Pc | 0345131033 | 5 |
Provider Name | Optometric Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730299116 PECOS PAC ID: 0345131033 Enrollment ID: O20040323000217 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Daniel Deal, OD 1200 S Hover St, Longmont, CO 80501-7902 Ph: (303) 845-4215 | Dr Justin Daniel Deal, OD 1200 S Hover St, Longmont, CO 80501-7902 Ph: (303) 845-4215 |
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