| Hafezzadeh Vision Llc | |
|
1610 Pace St Unit 600, Longmont, CO 80504-2240 | |
| (812) 320-9318 | |
| Not Available |
| Full Name | Hafezzadeh Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1610 Pace St Unit 600, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891179669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2722 (Colorado) | Primary |
| Provider Name | Neka Hafezzadeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295963320 PECOS PAC ID: 0648304063 Enrollment ID: I20100819001093 |
| Mailing Address | Practice Location Address |
|---|---|
| Hafezzadeh Vision Llc 1610 Pace St Unit 600, Longmont, CO 80504-2240 Ph: () - | Hafezzadeh Vision Llc 1610 Pace St Unit 600, Longmont, CO 80504-2240 Ph: (812) 320-9318 |
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