Organization
L.L. DOUGLASS, OD, PLLC
Active
Other names
Douglass Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOLA DOUGLASS OD (OPTOMETRIST)
(806) 662-6812
Entity
Organization
Contact information
Practice address
9601 GRANT ST, THORNTON, CO 80229-2155
(303) 453-4972
Mailing address
9601 GRANT ST, THORNTON, CO 80229-2155
(303) 453-4972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354129401
—
TX
Enumeration date
12/14/2016
Last updated
12/14/2016
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