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Organization

JOHN C. HAESEKER, O.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C HAESEKER OD (OWNER)
(719) 495-5055
Entity
Organization

Contact information

Practice address
11550 MERIDIAN MARKET VW, PEYTON, CO 80831-8233
(719) 495-5055
(719) 495-0574
Mailing address
11550 MERIDIAN MARKET VW, PEYTON, CO 80831-8233
(719) 495-5055
(719) 495-0574

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1476
CO

Other

Enumeration date
11/16/2007
Last updated
11/16/2007
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