Organization
FAIRMOUNT EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A LARSON OD (OPTOMETRIST/OWNER)
(970) 263-4525
Entity
Organization
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 263-4525
(970) 256-8441
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 263-4525
(970) 256-8441
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2269
CO
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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