Organization
BAYFIELD FAMILY EYE CARE LLC
Active
Other names
Bayfield Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E ZISSMAN OD (CO-OWNER)
(970) 884-6188
Entity
Organization
Contact information
Practice address
480 WOLVERINE DR, # 5, BAYFIELD, CO 81122-9653
(970) 884-6188
(970) 884-2869
Mailing address
480 WOLVERINE DR, # 5, BAYFIELD, CO 81122-9653
(970) 884-6188
(970) 884-2869
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2532
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396770962
PERSONAL NPI
CO
01
—
2532
COPLORADO OPTOMETRIC LICENSE #
CO
01
—
267474590
PERSONAL SS# FOR JONATHAN E ZISSMAN
CO
Enumeration date
06/30/2008
Last updated
03/07/2023
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