Loveland Vision Prof Co LLC

NPI #1982973624 in Loveland, Colorado

Provider Information

NPI Number: 1982973624
Entity Type: Organization
Organization Name: Loveland Vision Prof Co LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2011
Last Updated: May 31, 2012

Practice Location

Address: 1325 DENVER AVE
City: Loveland
State: Colorado
ZIP Code: 80537-5120
Phone: (970) 663-3937

Authorized Official

Name: MICHAEL EDWARD KODITEK
Title: OWNER
Phone: (970) 663-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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