Organization
FOOTHILLS EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN VINCENT OD (OWNER)
(303) 653-6255
Entity
Organization
Contact information
Practice address
952 SWEDE GULCH RD, EVERGREEN, CO 80439-3713
(303) 526-0534
Mailing address
PO BOX 1530, GOLDEN, CO 80402-1530
(303) 653-6255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
04/26/2019
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