Organization
REDSTONE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DANIEL DEAL O.D. (OPTOMETRIST)
(812) 881-8899
Entity
Organization
Contact information
Practice address
1200 S HOVER ST, LONGMONT, CO 80501-7902
(303) 845-4215
(303) 682-8181
Mailing address
1200 S HOVER ST, LONGMONT, CO 80501-7902
(303) 845-4215
(303) 682-8181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2875
CO
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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