Individual
DR. HEATHER M SIMONSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 ELM AVE, EATON, CO 80615-3428
(970) 454-3387
(970) 454-3380
Mailing address
215 ELM AVE, EATON, CO 80615-3428
(970) 454-3387
(970) 454-3380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294540001
DMERC
CO
05
—
08910143
—
CO
Enumeration date
09/28/2005
Last updated
07/08/2007
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