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General NPI Number Information
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NPI Number | 1780972851
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Entity Type | Organization
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Legal Business Name | ANDREW R. ADAMICH OD FCOVD INC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 49 MILL STREET
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City | BAYFIELD
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State | CO
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Zip | 81122
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Country | US
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Telephone | 970-884-2020
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Fax | 970-884-2977
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Provider Business Mailing Address
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Address Line | 2233 E MAIN ST BUSINESS OPTIONS MEDICAL BILLING
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City | MONTROSE
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State | CO
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Zip | 81401-3831
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Country | US
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Telephone | 970-765-0818
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Fax | 970-497-8410
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. ANDREW R ADAMICH
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Credential | OD
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Telephone | 970-884-2020
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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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