Organization
ALAMOSA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WATSON OD (OWNER)
(208) 305-9694
Entity
Organization
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(208) 762-8802
(208) 762-8802
Mailing address
PO BOX 783, HAYDEN, ID 83835-0783
(208) 762-8802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003328
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003328
OPTOMETRY
CO
Enumeration date
07/20/2017
Last updated
06/08/2022
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