Organization
FORT COLLINS FAMILY EYE CARE
Active
Parent organization
JACLYN A. MUNSON, OD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACLYN A. MUNSON, OD PLLC
Authorized official
DR. JACLYN MUNSON OD (OWNER/MANAGER)
(815) 735-1175
Entity
Organization
Contact information
Practice address
373 W DRAKE RD, SUITE 3, FORT COLLINS, CO 80526-2881
(970) 233-7150
Mailing address
373 W DRAKE RD, SUITE 3, FORT COLLINS, CO 80526-2881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3174
CO
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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