Organization
TABLE MOUNTAIN VISION CENTER 2020, LLC
Active
Other names
Table Mountain Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANNE PETERSON OD (OPTOMETRIST)
(303) 271-1400
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE, GOLDEN, CO 80401-1917
(303) 271-1400
Mailing address
1409 WASHINGTON AVE, GOLDEN, CO 80401-1917
(303) 271-1400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
04/20/2020
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