Individual
NEKA HAFEZZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1610 PACE ST, SUITE 600, LONGMONT, CO 80504-2238
(720) 204-6891
(720) 204-6852
Mailing address
1610 PACE ST, SUITE 600, LONGMONT, CO 80504-2238
(720) 204-6891
(720) 204-6852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2722
CO
152W00000X
Optometrist
OPT 2722
CO
Other
Enumeration date
06/26/2009
Last updated
08/31/2015
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