Organization
EDIE BOWMAN OD LLC
Active
Other names
Colorado Vision Center Fort Collins
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA A PAUL ABOC (OPTICIAN/OFFICE MANAGER)
(970) 206-0100
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST STE J1, FORT COLLINS, CO 80526-1837
(970) 206-0100
(970) 206-0300
Mailing address
2001 S SHIELDS ST STE J1, FORT COLLINS, CO 80526-1837
(970) 206-0100
(970) 206-0300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99331241
—
CO
Enumeration date
03/03/2008
Last updated
07/21/2022
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