Organization
SUZANNE M HAZEN PC
Active
Other names
Telluride Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE MCLEAN HAZEN OD (PRESIDENT)
(970) 708-4890
Entity
Organization
Contact information
Practice address
220 E COLORADO AVE 210, TELLURIDE, CO 81435
(970) 708-4890
(970) 728-8987
Mailing address
PO BOX 3110, TELLURIDE, CO 81435-3110
(970) 708-4890
(970) 728-8987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12002267
—
CO
Enumeration date
08/28/2012
Last updated
04/23/2014
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