Organization
OMNI OPTOMETRIC ASSOCIATES, LLC
Active
Other names
Lake County Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. PROUTY OD (OWNER)
(720) 252-3802
Entity
Organization
Contact information
Practice address
711 HARRISON AVE UNIT H, LEADVILLE, CO 80461-3571
(719) 486-2505
(719) 486-2584
Mailing address
1110 BLACK SADDLE ST, ELIZABETH, CO 80107-8528
(720) 252-3802
(719) 486-2584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
03/08/2021
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