Organization
VISTA VISION FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JASON LISENBY OD (OPTOMETRIST)
(970) 249-2330
Entity
Organization
Contact information
Practice address
2770 WOODGATE RD, MONTROSE, CO 81401-5466
(970) 249-2330
(970) 249-6131
Mailing address
2770 WOODGATE RD, MONTROSE, CO 81401-5466
(970) 249-2330
(970) 249-6131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2792
CO
Other
Enumeration date
01/14/2012
Last updated
12/29/2020
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