Woodland Vision Source | |
101 Sundial Dr Ste C, Woodland Park, CO 80863-7769 | |
(719) 687-3937 | |
(719) 687-9308 |
Full Name | Woodland Vision Source |
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Type | Facility |
Speciality | Optometrist |
Location | 101 Sundial Dr Ste C, Woodland Park, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982472213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Bruce Tanner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508437906 PECOS PAC ID: 7113322546 Enrollment ID: I20210824001976 |
Mailing Address | Practice Location Address |
---|---|
Woodland Vision Source 101 Sundial Dr Ste C, Woodland Park, CO 80863-7769 Ph: (719) 687-3937 | Woodland Vision Source 101 Sundial Dr Ste C, Woodland Park, CO 80863-7769 Ph: (719) 687-3937 |
Cummings Vision Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 101 C Sundial Drive, Woodland Park, CO 80863 Phone: 719-684-5317 Fax: 719-687-9308 | |
Amber Weimer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Sundial Dr, Woodland Park, CO 80863 Phone: 719-687-3937 | |
Dr. Thomas W Cummings, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 C Sundial Drive, Woodland Park, CO 80863 Phone: 719-687-3937 Fax: 719-687-9308 |