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Organization

COLORADO WEST OPHTHALMOLOGY ASSOC. PC

Active
Parent organization
COLORADO WEST OPHTHALMOLOGY ASSOC. PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO WEST OPHTHALMOLOGY ASSOC. PC
Authorized official
LETICIA C WARE (ADMINISTRATIVE ASSISTANT)
(970) 249-1210
Entity
Organization

Contact information

Practice address
1426 MESA VIEW DR, DELTA, CO 81416-2400
(970) 874-8821
(970) 874-3472
Mailing address
1800 E PAVILION PL UNIT B, MONTROSE, CO 81401-5499
(970) 249-1210
(970) 249-3057

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000132032
CO
01
98604
BLUE CROSS BLUE SHIELD
CO
01
CJ7703
RAILROAD MEDICARE
CO
Enumeration date
03/09/2021
Last updated
03/09/2021
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