Organization
ARCHULETA EYECARE ASSOCIATES, LLC
Active
Other names
Mountian Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ZISSMAN O.D. (OWNER)
(970) 713-4347
Entity
Organization
Contact information
Practice address
190 TALISMAN DR UNIT B4, PAGOSA SPRINGS, CO 81147-9171
(970) 731-4347
Mailing address
190 TALISMAN DR UNIT B4, PAGOSA SPRINGS, CO 81147-9171
(505) 263-4695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2532
CO
Other
Enumeration date
07/12/2006
Last updated
09/08/2021
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