Vision Source Longmont, PC

NPI #1104980234 in Longmont, Colorado

Provider Information

NPI Number: 1104980234
Entity Type: Organization
Organization Name: Vision Source Longmont, PC
Primary Specialty: Optometrist
Enumeration Date: Dec 21, 2006
Last Updated: Mar 6, 2013

Practice Location

Address: 2130 MOUNTAIN VIEW AVENUE
Address 2: SUITE 207
City: Longmont
State: Colorado
ZIP Code: 80501
Phone: (303) 772-2755

Authorized Official

Name: DR. JASON L. KAMINSKI, O.D.
Title: OWNER
Phone: (303) 772-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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