Organization
VIRGINIA VISION CARE ASSOC., L.L.C.
Active
Other names
Longview Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
EWING R MCCLELLAND OD (OPTOMETRIST)
(720) 825-3554
Entity
Organization
Contact information
Practice address
250 W 65TH ST, LOVELAND, CO 80538-4668
(970) 381-2539
Mailing address
2416 PURDUE RD, FORT COLLINS, CO 80525-1711
(970) 825-3554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33756236
—
CO
Enumeration date
11/10/2020
Last updated
11/10/2020
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