Organization
PONDEROSA VISION CLINIC, PC
Active
Other names
Lowry EyeCare Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN BRYANT O.D. (OWNER)
(303) 693-9561
Entity
Organization
Contact information
Practice address
8101 E LOWRY BLVD, #110, DENVER, CO 80230-7196
(303) 671-0000
(303) 671-2879
Mailing address
14991 E HAMPDEN AVE, #110, AURORA, CO 80014-3983
(303) 693-9561
(303) 693-0713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009607
—
CO
Enumeration date
01/29/2007
Last updated
08/22/2020
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