Eaton Vision Clinic LLC

NPI #1376612143 in Eaton, Colorado

Provider Information

NPI Number: 1376612143
Entity Type: Organization
Organization Name: Eaton Vision Clinic LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 7, 2006
Last Updated: Aug 7, 2012

Practice Location

Address: 215 ELM AVE
City: Eaton
State: Colorado
ZIP Code: 80615-3428
Phone: (970) 454-3387

Authorized Official

Name: MICHAEL C STURM, O.D.
Title: PARTNER
Phone: (970) 454-3387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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