Healthcare Provider Details

I. General information

NPI: 1952251894
Provider Name (Legal Business Name): ONEOPTO CO 1 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 S CAMINO DEL RIO STE 100
DURANGO CO
81303-6824
US

IV. Provider business mailing address

1165 S CAMINO DEL RIO STE 100
DURANGO CO
81303-6824
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-8762
  • Fax: 970-385-4496
Mailing address:
  • Phone: 970-247-8762
  • Fax: 970-385-4496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MANSUR NURDEL
Title or Position: PRESIDENT
Credential:
Phone: 303-683-4466