Longmont Eyecare, Pllc

NPI #1104344894 in Longmont, Colorado

Provider Information

NPI Number: 1104344894
Entity Type: Organization
Organization Name: Longmont Eyecare, Pllc
Primary Specialty: Optometrist
Enumeration Date: Sep 1, 2017
Last Updated: Jul 16, 2020

Practice Location

Address: 2285 E KEN PRATT BLVD
City: Longmont
State: Colorado
ZIP Code: 80504-5223
Phone: (720) 652-0455

Authorized Official

Name: GRACE KIM, OD
Title: OPTOMETRIST/CEO
Phone: (720) 652-0455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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