Organization
EYE MART OUTLET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A WICKS ABOC (MANAGER)
(970) 241-2020
Entity
Organization
Contact information
Practice address
2139 N 12TH ST, SUITE 5, GRAND JUNCTION, CO 81501-2901
(970) 241-2020
(970) 241-7735
Mailing address
2139 N 12TH ST, SUITE 5, GRAND JUNCTION, CO 81501-2901
(970) 241-2020
(970) 241-7735
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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