Organization
LAKE DILLON EYE CARE, LLC
Active
Other names
Lake Dillon Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RUSH PATTON (MANAGER)
(970) 468-0389
Entity
Organization
Contact information
Practice address
325 LAKE DILLON DR STE 104, DILLON, CO 80435-5509
(970) 468-0389
(970) 468-4790
Mailing address
PO BOX 2804, DILLON, CO 80435-2804
(970) 468-0389
(970) 468-4790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
43711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000193505
—
CO
Enumeration date
01/12/2012
Last updated
10/13/2022
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