# FORT MORGAN EYE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093229718
- **Authorized official:** DR. JEFFREY RYAN WIEDRICH O.D. (OPTOMETRIST)
- **Authorized official phone:** (806) 336-7105

## Contact information

- **Practice address:** 1100 MAIN ST, FORT MORGAN, CO 80701-2036
- **Practice address phone:** (970) 867-3046
- **Mailing address:** 1100 MAIN ST, FORT MORGAN, CO 80701-2036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | OPT.0002664 | CO | Yes |

## Other

- **Enumeration date:** 11/17/2017
- **Last updated:** 01/11/2018