Organization
RICHARD & MARCIA STAUTER
Active
Other names
Family Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA SCHULTE STAUTER O.D. (OWNER)
(970) 352-4200
Entity
Organization
Contact information
Practice address
3545 W 12TH ST, STE. 101, GREELEY, CO 80634-2545
(970) 352-4200
(970) 352-4278
Mailing address
3545 W 12TH ST, STE. 101, GREELEY, CO 80634-2545
(970) 352-4200
(970) 352-4278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1282
CO
332B00000X
Durable Medical Equipment & Medical Supplies
1282
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08012825
—
CO
Enumeration date
05/01/2008
Last updated
03/28/2013
Update your record
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