# GREGORY A. VOSSETEIG P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 2020 Vision Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912052523
- **Authorized official:** DR. GREGORY A. VOSSETEIG O.D. (OWNER)
- **Authorized official phone:** (970) 490-2020

## Contact information

- **Practice address:** 3501 S SHIELDS ST, FORT COLLINS, CO 80526-2583
- **Practice address phone:** (970) 490-2020
- **Practice address fax:** (970) 221-3121
- **Mailing address:** 3501 S SHIELDS ST, FORT COLLINS, CO 80526-2583
- **Mailing address phone:** (970) 490-2020
- **Mailing address fax:** (970) 221-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1613 | CO | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 04/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08016131 | — | CO |
| 01 | — | 1220270001 | DMERC | CO |
| 01 | — | P00273245 | RR MEDICARE | CO |