Individual
DR. GRANT ELLIOT SCHANEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
257 JOHNSTOWN CENTER DR, SUITE 107, JOHNSTOWN, CO 80534-9073
(970) 587-0827
Mailing address
251 HAWTHORNE AVE, JOHNSTOWN, CO 80534-9184
(970) 587-0827
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2204624
EVERCARE
CO
05
—
74130293
—
CO
Enumeration date
05/11/2006
Last updated
06/11/2008
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