Organization
SUMMIT VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG KENNEDY O.D. (OPTOMETRIST)
(303) 828-1512
Entity
Organization
Contact information
Practice address
615 MITCHELL WAY STE 103, ERIE, CO 80516-5438
(303) 828-1512
Mailing address
615 MITCHELL WAY STE 103, ERIE, CO 80516-5438
(303) 828-1512
(303) 828-1514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1750
CO
Other
Enumeration date
06/03/2010
Last updated
09/15/2010
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