Organization
TANNER VISION PC
Active
Other names
Premier Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER C TANNER (OFFICE MANAGER)
(970) 587-3937
Entity
Organization
Contact information
Practice address
114 14TH ST SW, LOVELAND, CO 80537-6341
(970) 587-3937
(970) 622-0648
Mailing address
114 14TH ST SW, LOVELAND, CO 80537-6341
(970) 587-3937
(970) 622-0648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO2816
STATE LICENSE
CO
Enumeration date
07/09/2022
Last updated
02/01/2024
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