Organization
EAST WEST OPTICAL VENTURES LLC
Active
Other names
EYE PIECES OF VAIL
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO MARTINEZ SR. OPTICIAN (MANAGER)
(970) 926-1756
Entity
Organization
Contact information
Practice address
56 EDWARDS VILLAGE BLVD, UNIT 117, EDWARDS, CO 81632-7802
(970) 926-1756
Mailing address
56 EDWARDS VILLAGE BLVD, UNIT 117, EDWARDS, CO 81632-7802
(970) 926-1756
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
04747650005
CO
Other
Enumeration date
11/03/2009
Last updated
03/01/2013
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