Organization
MAIN STREET VISION CARE, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER TRUDELL OD (OWNER)
(303) 651-6700
Entity
Organization
Contact information
Practice address
412 MAIN ST, LONGMONT, CO 80501-5535
(303) 651-6700
Mailing address
412 MAIN ST, LONGMONT, CO 80501-5535
(303) 651-6700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1188
CO
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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