Ccc Optical PC

NPI #1194713057 in Pagosa Springs, Colorado

Provider Information

NPI Number: 1194713057
Entity Type: Organization
Organization Name: Ccc Optical PC
Primary Specialty: Optometrist
Enumeration Date: Oct 13, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 190 TALISMAN DR
Address 2: SUITE B4
City: Pagosa Springs
State: Colorado
ZIP Code: 81147-9171
Phone: (970) 731-4347

Authorized Official

Name: DR. CRAIG L NELSON, DOCTOR/OD
Title: DOCTOR/OPTOMETRIST
Phone: (719) 589-9066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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