Eaton Vision Clinic Llc | |
215 Elm Ave, Eaton, CO 80615-3428 | |
(970) 454-3387 | |
(970) 454-3380 |
Full Name | Eaton Vision Clinic Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 215 Elm Ave, Eaton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376612143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT 1014 (Colorado) | Primary |
Provider Name | Michael C Sturm |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780815076 PECOS PAC ID: 1759566714 Enrollment ID: I20110506000456 |
Provider Name | Maryn C Sturm |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942516646 PECOS PAC ID: 0840475802 Enrollment ID: I20110506000472 |
Mailing Address | Practice Location Address |
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Eaton Vision Clinic Llc 215 Elm Ave, Eaton, CO 80615-3428 Ph: (970) 454-3387 | Eaton Vision Clinic Llc 215 Elm Ave, Eaton, CO 80615-3428 Ph: (970) 454-3387 |
Dr. Donald R Simonson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 Fax: 970-454-3380 | |
Dr. Heather M Simonson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 Fax: 970-454-3380 | |
Dr. Maryn Caprice Sturm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 |