Organization
OUT THERE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE BALLARD LUMPKIN OD (PROVIDER/OWNER)
(731) 431-6078
Entity
Organization
Contact information
Practice address
1510 W MAIN ST, STERLING, CO 80751-9095
(970) 522-9095
(970) 522-5953
Mailing address
10990 COUNTY ROAD 28, OVID, CO 80744-9430
(970) 522-9192
(970) 522-5953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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