Organization
BLUE RIVER VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA J HEGEWALD OD (OPTOMETRIST / OWNER)
(970) 368-6539
Entity
Organization
Contact information
Practice address
358 BLUE RIVER PKWY, SUITE D, SILVERTHORNE, CO 80498
(303) 503-6397
Mailing address
P.O. BOX 402, PMB 310, DILLON, CO 80435-0402
(970) 368-6539
(970) 368-6539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2671
CO
152WS0006X
Sports Vision Optometrist
2671
CO
152WV0400X
Vision Therapy Optometrist
2671
CO
Other
Enumeration date
10/16/2017
Last updated
01/12/2018
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