MEDICARE: VISUALEYES EYECARE, P.C.

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
1	152W00000X	Optometrist	CO2351	CO

General Provider Information

NPI Number	:	1386813889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISUALEYES EYECARE, P.C.

Provider Business Mailing Address
First Line	:	332 E ASPEN AVE STE 100
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2204
Country	:	US
Telephone Number	:	970-858-2020
Fax Number	:	970-858-6601

Provider Business Practice Location Address
First Line	:	332 E ASPEN AVE STE 100
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2204
Country	:	US
Telephone Number	:	970-858-2020
Fax Number	:	970-858-6601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY N QUARNBERG
Credential	:	O.D.
Telephone Number	:	970-858-2020

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	03/21/2018

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