Main Street Vision Care, Co.

NPI #1740780840 in Longmont, Colorado

Provider Information

NPI Number
1740780840
Entity Type
Organization
Organization Name
Main Street Vision Care, Co.
Primary Specialty
Optometrist
Enumeration Date
Feb 15, 2018
Last Updated
Feb 15, 2018

Practice Location

Address
412 MAIN ST
ZIP Code
80501-5535
Phone
(303) 651-6700

Authorized Official

Name
ROGER TRUDELL, OD
Title
OWNER
Phone
(303) 651-6700

Specialties & Taxonomy Codes

Specialty
Optometrist

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