Organization
ALPINE EYE CLINIC OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G PETTY M.D. (OWNER)
(970) 565-8809
Entity
Organization
Contact information
Practice address
2423 E MAIN ST, SUITE 4, CORTEZ, CO 81321-4269
(970) 565-8809
(970) 565-8881
Mailing address
2423 E MAIN ST, SUITE 4, CORTEZ, CO 81321-4269
(970) 565-8809
(970) 565-8881
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
28-1598318
CO
Other
Enumeration date
02/02/2006
Last updated
10/25/2013
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