Organization
VISTA VISION FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JASON LISENBY O.D. (OWNER)
(970) 249-2330
Entity
Organization
Contact information
Practice address
2545 RIMROCK AVE, GRAND JUNCTION, CO 81505-8664
(970) 242-9050
(970) 242-0448
Mailing address
2770 WOODGATE RD, MONTROSE, CO 81401-5466
(970) 249-2330
(970) 249-6131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2792
CO
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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