Individual
BRIAN L VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
952 SWEDE GULCH RD, EVERGREEN, CO 80439-3713
(303) 526-0534
Mailing address
PO BOX 1530, GOLDEN, CO 80402-1530
(303) 653-6255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2339
CO
152WL0500X
Low Vision Rehabilitation Optometrist
2339
CO
Other
Enumeration date
06/15/2006
Last updated
09/03/2019
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