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Organization

BOWEN EYE CARE CLINIC. LLC

Active
Parent organization
BOWEN EYE CARE CLINIC, LLC
Other names
See Life Family Vision Source
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOWEN EYE CARE CLINIC, LLC
Authorized official
DR. RONALD LEE MEARSHA (PARTNER)
(970) 353-5455
Entity
Organization

Contact information

Practice address
2108 35TH AVE STE A, GREELEY, CO 80634-3955
(970) 356-0100
Mailing address
2867 35TH AVE, GREELEY, CO 80634-9407
(970) 346-1411

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04289731
CO
Enumeration date
02/10/2021
Last updated
02/10/2021
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