Organization
NORTH FORK VISION CENTER INC
Active
Other names
North Fork Vision Center, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E REDDIN O.D. (PRESIDENT)
(970) 872-2020
Entity
Organization
Contact information
Practice address
210 E. BRIDGE STREET, HOTCHKISS, CO 81419
(970) 872-2020
(970) 872-2022
Mailing address
PO BOX 658, HOTCHKISS, CO 81419-0658
(970) 872-2020
(970) 872-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60733837
—
CO
Enumeration date
05/14/2007
Last updated
03/06/2008
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