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NPI Code Detail

MEDICARE: DR. JOHN CALVIN HARDY O.D.

MEDICARE: DR. JOHN CALVIN HARDY O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT 2453CO

General Provider Information

NPI Number : 1093808362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN CALVIN HARDY O.D.
Provider Business Mailing Address
First Line : 729 BEAVER LDG
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-8683
Country : US
Telephone Number : 970-243-1138
Fax Number :
Provider Business Practice Location Address
First Line : 2881 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5064
Country : US
Telephone Number : 970-241-0943
Fax Number : 970-241-0215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2006
Last Update Date : 08/20/2017

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Directions to “ DR. JOHN CALVIN HARDY O.D.” Practice Location

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