Organization
TANNER VISION SERVICES PLLC
Active
Other names
WOODLAND VISION SOURCE
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TANNER (OWNER)
(801) 746-9401
Entity
Organization
Contact information
Practice address
101 SUNDIAL DR STE C, WOODLAND PARK, CO 80863-7769
(719) 687-3937
(719) 687-9308
Mailing address
101 SUNDIAL DR STE C, WOODLAND PARK, CO 80863-7769
(719) 687-3937
(719) 687-9308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
09/24/2024
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