Organization
PROFESSIONAL VISIONCARE OF COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COLLINS O.D. (PRESIDENT)
(801) 709-8623
Entity
Organization
Contact information
Practice address
1040 INDEPENDENT AVE, GRAND JUNCTION, CO 81505-7133
(970) 254-2880
Mailing address
772 JASPER DR, FRUITA, CO 81521-8312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2739
CO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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