Organization
AMY C CECIL OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY C CECIL O.D. (OWNER)
(970) 927-5107
Entity
Organization
Contact information
Practice address
100 ELK RUN DR STE 206, BASALT, CO 81621-9241
(970) 927-5107
(970) 927-5108
Mailing address
100 ELK RUN DR STE 206, BASALT, CO 81621-9241
(970) 927-5107
(970) 927-5108
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52027732
—
CO
Enumeration date
03/01/2008
Last updated
07/29/2008
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