Organization
EYES ON BRECKENRIDGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GIOVAGNOLI O.D. (PRESIDENT)
(970) 453-6910
Entity
Organization
Contact information
Practice address
216 SOUTH MAIN ST., SUITE 2, BRECKENRIDGE, CO 80424-4654
(970) 453-6910
(970) 547-5865
Mailing address
PO BOX 4654, BRECKENRIDGE, CO 80424-4654
(970) 453-6910
(970) 547-5865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1437
CO
Other
Enumeration date
12/29/2009
Last updated
03/10/2010
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