Organization
LONGMONT EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE KIM OD (OPTOMETRIST/CEO)
(720) 652-0455
Entity
Organization
Contact information
Practice address
2285 E KEN PRATT BLVD, LONGMONT, CO 80504-5223
(720) 652-0455
Mailing address
2285 E KEN PRATT BLVD, LONGMONT, CO 80504-5223
(720) 652-0455
(303) 532-3269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003344
CO
Other
Enumeration date
09/01/2017
Last updated
07/16/2020
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