Organization
VISION SOURCE LONGMONT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L. KAMINSKI O.D. (OWNER)
(303) 772-2755
Entity
Organization
Contact information
Practice address
2130 MOUNTAIN VIEW AVENUE, SUITE 207, LONGMONT, CO 80501
(303) 772-2755
Mailing address
2130 MOUNTAIN VIEW AVENUE, SUITE 207, LONGMONT, CO 80501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
857
CO
Other
Enumeration date
12/21/2006
Last updated
03/06/2013
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