Table Mountain Vision Center 2020, LLC

NPI #1346886587 in Golden, Colorado

Provider Information

NPI Number: 1346886587
Entity Type: Organization
Organization Name: Table Mountain Vision Center 2020, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 22, 2019
Last Updated: Apr 20, 2020

Practice Location

Address: 1409 WASHINGTON AVE
City: Golden
State: Colorado
ZIP Code: 80401-1917
Phone: (303) 271-1400

Authorized Official

Name: DR. ELIZABETH ANNE PETERSON, OD
Title: OPTOMETRIST
Phone: (303) 271-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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