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General NPI Number Information
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NPI Number | 1013874924
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Entity Type | Organization
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Legal Business Name | EYE CENTER OF NORTHERN COLORADO, P.C.
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 10465 MELODY DR STE 111
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City | NORTHGLENN
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State | CO
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Zip | 80234-4124
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Country | US
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Telephone | 303-252-9981
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Fax | 303-252-7306
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Provider Business Mailing Address
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Address Line | 1725 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-1307
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Country | US
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Telephone | 970-221-2222
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Fax | 970-837-3263
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Authorized Official
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Title or Position | VP REVENUE CYCLE MANAGEMENT
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Name | LAURA M GARCIA
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Credential |
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Telephone | 949-615-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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