Organization
FORT MORGAN EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RYAN WIEDRICH O.D. (OPTOMETRIST)
(806) 336-7105
Entity
Organization
Contact information
Practice address
1100 MAIN ST, FORT MORGAN, CO 80701-2036
(970) 867-3046
Mailing address
1100 MAIN ST, FORT MORGAN, CO 80701-2036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPT.0002664
CO
Other
Enumeration date
11/17/2017
Last updated
01/11/2018
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