Organization
MESA OPTICAL COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W TULL JR. OD (OPTOMETRIST)
(970) 242-4909
Entity
Organization
Contact information
Practice address
2232 N 7TH ST, SUITE 10, GRAND JUNCTION, CO 81501-7459
(970) 242-4909
(970) 243-7171
Mailing address
2232 N 7TH ST, SUITE 10, GRAND JUNCTION, CO 81501-7459
(970) 242-4909
(970) 243-7171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1426
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021192
—
CO
Enumeration date
12/28/2007
Last updated
10/18/2010
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