Hero Vision of Longmont, LLC

NPI #1578167037 in Longmont, Colorado

Provider Information

NPI Number: 1578167037
Entity Type: Organization
Organization Name: Hero Vision of Longmont, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HERO VISION OF LONGMONT LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 1739 MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-2035
Phone: (303) 834-6400

Authorized Official

Name: SHAUN URBANOZO
Title: CREDENTIALING MANAGER
Phone: (719) 323-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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