Organization
NORTHWEST EYECARE CENTER, LLC
Active
Other names
Eyecare Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. DANNER O.D. (OWNER / MANAGER)
(970) 824-3488
Entity
Organization
Contact information
Practice address
1111 W VICTORY WAY, SUITE 110, CRAIG, CO 81625-2950
(970) 824-3488
(970) 824-8132
Mailing address
1111 W VICTORY WAY, SUITE 110, CRAIG, CO 81625-2950
(970) 824-3488
(970) 824-8132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1589
CO
152W00000X
Optometrist
Primary
848
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04018867
—
CO
01
—
1471066
UMWA
CO
Enumeration date
10/25/2005
Last updated
09/05/2008
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