Healthcare Provider Details

I. General information

NPI: 1912815564
Provider Name (Legal Business Name): WESTERN SLOPE OPHTHALMOLOGY CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 FORESIGHT CIR UNIT 220
GRAND JUNCTION CO
81505-1156
US

IV. Provider business mailing address

2515 FORESIGHT CIR UNIT 220
GRAND JUNCTION CO
81505-1156
US

V. Phone/Fax

Practice location:
  • Phone: 970-256-0400
  • Fax:
Mailing address:
  • Phone: 970-256-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRYSON TUDOR
Title or Position: PRESIDENT PHYSICIAN
Credential: MD
Phone: 970-256-0400