Ccc Optical PC

NPI #1184612616 in Bayfield, Colorado

Provider Information

NPI Number: 1184612616
Entity Type: Organization
Organization Name: Ccc Optical PC
Primary Specialty: Optometrist
Enumeration Date: Oct 10, 2005
Last Updated: Jan 5, 2009

Practice Location

Address: 480 WOLVERINE DR
Address 2: SUITE 5
City: Bayfield
State: Colorado
ZIP Code: 81122-9653
Phone: (970) 884-6188

Authorized Official

Name: DR. CRAIG L NELSON, OD
Title: DOCTOR/OPTOMETRIST
Phone: (719) 658-0704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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