Individual
DR. EWING R MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3500 S COLLEGE AVE STE 180, FORT COLLINS, CO 80525-2660
(970) 498-8388
(970) 498-8380
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001861
VA
152W00000X
Optometrist
Primary
OPT.0003092
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568690774
—
VA
05
—
33756236
—
CO
Enumeration date
06/25/2009
Last updated
04/11/2024
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