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Organization

SALIDA EYE DOC, LLC

Active
Other names
Ascent Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS JORDAN CHARITON OD (OPTOMETRIST)
(719) 334-9294
Entity
Organization

Contact information

Practice address
7162 COUNTY ROAD 154 UNIT B, SALIDA, CO 81201-9296
(719) 539-3581
Mailing address
8105 SPRUCE ST, SALIDA, CO 81201-9433
(719) 334-9294

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist
152WP0200X
Pediatric Optometrist

Other

Enumeration date
10/27/2023
Last updated
10/27/2023
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