Organization
HIGH COUNTRY OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN MILLER O.D. (PRESIDENT)
(970) 247-3613
Entity
Organization
Contact information
Practice address
450 S CAMINO DEL RIO, STE. 101, DURANGO, CO 81301-6831
(970) 247-3613
Mailing address
450 S CAMINO DEL RIO, STE. 101, DURANGO, CO 81301-6831
(970) 247-3613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1837
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009098
—
CO
Enumeration date
01/09/2007
Last updated
09/17/2007
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