Organization
BOULDER VISION ASSOCIATES, P.C., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE MICHELLE PADDOCK O.D. (VICE-PRESIDENT)
(303) 530-2020
Entity
Organization
Contact information
Practice address
5305 SPINE RD STE B, BOULDER, CO 80301-3331
(303) 530-2020
Mailing address
5305 SPINE RD STE B, BOULDER, CO 80301-3331
(303) 530-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1436
CO
152W00000X
Optometrist
2534
CO
Other
Enumeration date
09/25/2007
Last updated
01/27/2009
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