Organization
VISION REVISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH GROVES OD (PRESIDENT/ OWNER)
(970) 686-6066
Entity
Organization
Contact information
Practice address
1292 MAIN ST UNIT 3, WINDSOR, CO 80550-5965
(970) 686-6066
Mailing address
1292 MAIN ST #3, WINDSOR, CO 80550
(970) 686-6066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1983
CO
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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