Organization
TIDSWELL EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TIDSWELL O.D. (OWNER/OPTOMETRIST)
(719) 688-3307
Entity
Organization
Contact information
Practice address
1625 E PLATTE AVE, COLORADO SPRINGS, CO 80909-5620
(719) 632-3561
Mailing address
1625 E PLATTE AVE, COLORADO SPRINGS, CO 80909-5620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1184
CO
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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