| |
111 W Emerson St, Holyoke, CO 80734-1431 | |
(970) 854-4030 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 111 W Emerson St, Holyoke, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1063501732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1765 (Colorado) | Primary |
Mailing Address | Practice Location Address |
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Po Box 568, Ogallala, NE 69153-0568 Ph: (308) 284-4394 | 111 W Emerson St, Holyoke, CO 80734-1431 Ph: (970) 854-4030 |