Organization
WM. REX ELAND, O.D., P.C.
Active
Other names
Berthoud Vision for Life
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REX ELAND O.D. (PRESIDENT)
(970) 532-5605
Entity
Organization
Contact information
Practice address
1211 LAKE AVE STE 102, BERTHOUD, CO 80513-9381
(970) 532-5605
(970) 532-5607
Mailing address
1211 LAKE AVE STE 102, BERTHOUD, CO 80513-9381
(970) 532-5605
(970) 532-5607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-1026
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63821371
—
CO
Enumeration date
03/23/2007
Last updated
02/20/2017
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