Organization
ALISON C. HOUSE, O.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON C HOUSE O.D. (OPTOMETRIST/OWNER)
(719) 583-0344
Entity
Organization
Contact information
Practice address
1821 FORTINO BLVD, PUEBLO, CO 81008-1892
(719) 583-0344
(719) 583-2806
Mailing address
1821 FORTINO BLVD, PUEBLO, CO 81008-1892
(719) 583-0344
(719) 583-2806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1360
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165600001
PTAN
CO
Enumeration date
08/23/2013
Last updated
02/23/2015
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