Organization
HAFEZZADEH VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEKA HAFEZZADEH (PRESIDENT)
(812) 320-9318
Entity
Organization
Contact information
Practice address
1610 PACE ST UNIT 600, LONGMONT, CO 80504-2240
(812) 320-9318
Mailing address
1610 PACE ST UNIT 600, LONGMONT, CO 80504-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2722
CO
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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