Individual
DR. ERIC R REISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
702 W DRAKE RD BLDG B, FORT COLLINS, CO 80526-5563
(970) 221-4811
(970) 221-4815
Mailing address
702 W DRAKE RD BLDG B, FORT COLLINS, CO 80526-5563
(970) 221-4811
(970) 221-4815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540330001
DMERC
CO
05
—
89282329
—
CO
Enumeration date
10/25/2005
Last updated
08/14/2017
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