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Organization

MOUNTAIN VIEW VISION, PC

Active
Other names
Mountain View Vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELISSA A TADA O.D. (PRESIDENT)
(719) 380-6808
Entity
Organization

Contact information

Practice address
7435 SISTERS GROVE, SUITE 210, COLORADO SPRINGS, CO 80923-2604
(719) 380-6808
(719) 380-5656
Mailing address
7435 SISTERS GROVE, SUITE 210, COLORADO SPRINGS, CO 80923-2604
(719) 380-6808
(719) 380-5656

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2048
CO
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01330357
CO
05
50057227
CO
01
DT4447
RAILROAD MEDICARE PTAN
CO
Enumeration date
07/03/2007
Last updated
01/26/2023
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