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Organization

EYE ON LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MARY ZEKERT OTR, CLVT (CEO, CLINICAL MANAGER)
(303) 543-0669
Entity
Organization

Contact information

Practice address
610 S 40TH ST, BOULDER, CO 80305-5905
(303) 543-0669
(303) 494-0530
Mailing address
PO BOX 3251, BOULDER, CO 80307-3251
(303) 543-0669
(303) 494-0530

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XL0004X
Low Vision Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6310855
CO
Enumeration date
12/28/2009
Last updated
12/28/2009
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