Individual
DR. MEGAN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
515 MAIN ST, WINDSOR, CO 80550-5131
(970) 460-0154
(970) 460-3032
Mailing address
515 MAIN ST, WINDSOR, CO 80550-5131
(970) 460-0154
(970) 460-3032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0002989
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06021581
—
CO
Enumeration date
07/09/2013
Last updated
12/13/2016
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