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Organization
FORT MORGAN EYE CARE LLC
Active
Organization
FORT MORGAN EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RYAN WIEDRICH O.D. (OPTOMETRIST)
(806) 336-7105
Entity
Organization
Contact information
Practice address
1100 MAIN ST, FORT MORGAN, CO 80701-2036
(970) 867-3046
Mailing address
1100 MAIN ST, FORT MORGAN, CO 80701-2036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPT.0002664
CO
Other
Enumeration date
11/17/2017
Last updated
01/11/2018
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