Organization
PEAK VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BELANGER OD (OWNER)
(419) 356-8757
Entity
Organization
Contact information
Practice address
256 DILLON RIDGE ROAD, DILLON, CO 80435
(419) 356-8757
Mailing address
PO BOX 402, DILLON, CO 80435-0402
(419) 356-8757
(970) 368-6935
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
0001118
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215392527
NPI2
CO
Enumeration date
12/31/2015
Last updated
03/09/2017
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