Organization
EYE AND LASER CENTER OF FORT COLLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW M NORRIS MD (OWNER)
(970) 224-2020
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD, SUITE 190, FORT COLLINS, CO 80528-3400
(970) 224-2020
(970) 224-2236
Mailing address
2121 E HARMONY RD, SUITE 190, FORT COLLINS, CO 80528-3400
(970) 224-2020
(970) 224-2236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10257039
—
CO
01
—
DN7505
RR MEDICARE PTAN
CO
01
—
EY669737
ANTHEM BLUE CROSS AND BLUE SHIELD
CO
Enumeration date
01/31/2008
Last updated
12/03/2008
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