Organization
CHILDREN'S OPTICAL OF NORTHERN COLORADO LLC
Active
Other names
Children's Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MITCHELL (MANAGER)
(970) 214-8175
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD UNIT 350A, FORT COLLINS, CO 80528-3404
(970) 214-8175
(970) 788-7376
Mailing address
2121 E HARMONY RD UNIT 350A, FORT COLLINS, CO 80528-3404
(970) 214-8175
(970) 788-7376
Taxonomy
Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053572438
—
CO
05
—
1255091716
—
CO
Enumeration date
03/03/2023
Last updated
03/03/2023
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