Longmont Vision Center LLC

NPI #1043325806 in Longmont, Colorado

Provider Information

NPI Number: 1043325806
Entity Type: Organization
Organization Name: Longmont Vision Center LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 20, 2006
Last Updated: Jan 17, 2008

Practice Location

Address: 412 MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-5535
Phone: (303) 651-6700

Authorized Official

Name: DR. ROGER TRUDELL, O.D.
Title: OWNER
Phone: (303) 651-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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