| Lo. Co. Vision Consultants Llc | |
|
180 Ken Pratt Blvd Ste 200, Longmont, CO 80501-8974 | |
| (303) 776-4309 | |
| Not Available |
| Full Name | Lo. Co. Vision Consultants Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 180 Ken Pratt Blvd Ste 200, 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 |
|---|---|---|---|
| 1851914824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Shannon Renee Mcclure |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699180182 PECOS PAC ID: 2668777632 Enrollment ID: I20200730000764 |
| Provider Name | Kristin Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164046629 PECOS PAC ID: 9638580855 Enrollment ID: I20201119001175 |
| Mailing Address | Practice Location Address |
|---|---|
| Lo. Co. Vision Consultants Llc 113 Keep Cir, Berthoud, CO 80513-1372 Ph: (952) 769-7877 | Lo. Co. Vision Consultants Llc 180 Ken Pratt Blvd Ste 200, Longmont, CO 80501-8974 Ph: (303) 776-4309 |
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