Individual
DR. SUZANNE MCLEAN HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
220 E. COLORADO AVE, SUITE 210, TELLURIDE, CO 81435
(970) 708-4890
(970) 728-8987
Mailing address
PO BOX 3110, TELLURIDE, CO 81435-3110
(970) 708-4890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12300T
CA
152W00000X
Optometrist
Primary
2372
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27602885
—
CO
Enumeration date
04/22/2006
Last updated
04/23/2014
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