| Monte Vista Eye Care Center Inc. | |
|
101 Chico Ct, Monte Vista, CO 81144-1067 | |
| (719) 852-3412 | |
| (719) 852-3345 |
| Full Name | Monte Vista Eye Care Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Chico Ct, Monte Vista, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184747230 | NPI | - | NPPES |
| 08009904 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 990 (Colorado) | Primary |
| Provider Name | Paul Heersink |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750367231 PECOS PAC ID: 8628254281 Enrollment ID: I20110629000135 |
| Provider Name | Joshua Paul Heersink |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538646468 PECOS PAC ID: 9032460886 Enrollment ID: I20180918003628 |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Vista Eye Care Center Inc. 101 Chico Ct, Monte Vista, CO 81144-1067 Ph: (719) 852-3412 | Monte Vista Eye Care Center Inc. 101 Chico Ct, Monte Vista, CO 81144-1067 Ph: (719) 852-3412 |
Joshua Paul Heersink, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 Chico Ct Unit B, Monte Vista, CO 81144 Phone: 719-852-3412 | |
Dr. David N Hinkley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 37 Washington St, Monte Vista, CO 81144 Phone: 719-852-3442 Fax: 719-852-9791 | |
Dr. Paul William Heersink, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Chico Ct, Suite B, Monte Vista, CO 81144 Phone: 719-852-3412 Fax: 719-852-3345 |