Organization
BRENT W FIDLER
Active
Other names
Eisenhower Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT W. FIDLER O.D. (OWNER)
(970) 667-2954
Entity
Organization
Contact information
Practice address
1524 W EISENHOWER BLVD, STE. C, LOVELAND, CO 80537-3112
(970) 667-2954
(970) 663-4713
Mailing address
1524 W EISENHOWER BLVD, STE. C, LOVELAND, CO 80537-3112
(970) 667-2954
(970) 663-4713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/14/2008
Last updated
06/25/2008
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