Healthcare Provider Details

I. General information

NPI: 1407910524
Provider Name (Legal Business Name): JOHN C. MEES O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 MOUNTAIN VIEW AVE UNIT E
LONGMONT CO
80501-3177
US

IV. Provider business mailing address

2130 MOUNTAIN VIEW AVE UNIT E
LONGMONT CO
80501-3177
US

V. Phone/Fax

Practice location:
  • Phone: 303-772-2755
  • Fax: 303-772-0104
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number857
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: