Organization
CACHE LA POUDRE OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NATHANIAL MIHELICH O.D. (PRESIDENT)
(970) 691-3363
Entity
Organization
Contact information
Practice address
238 E HARMONY RD, D-16, FORT COLLINS, CO 80525-3253
(970) 266-1243
Mailing address
238 E HARMONY RD, D-16, FORT COLLINS, CO 80525-3253
(970) 266-1243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2251
CO
Other
Enumeration date
12/02/2008
Last updated
02/25/2015
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