Organization
WIARDA OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH COLE WIARDA O.D. (MANAGING MEMBER)
(248) 467-4422
Entity
Organization
Contact information
Practice address
4786 MCMURRY AVE UNIT 2A, FORT COLLINS, CO 80525-4499
(970) 204-4020
Mailing address
4786 MCMURRY AVE UNIT 2A, FORT COLLINS, CO 80525-4499
(248) 467-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97237388
—
CO
Enumeration date
04/14/2009
Last updated
03/12/2024
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