MEDICARE: VISION NOW OPTICS LLC

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

General Provider Information

NPI Number	:	1912733833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION NOW OPTICS LLC

Provider Business Mailing Address
First Line	:	2041 PEPPER LN
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81005-3276
Country	:	US
Telephone Number	:	719-696-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	3429 DILLON DR SPC F08
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81008-1024
Country	:	US
Telephone Number	:	719-285-0522
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MICHAEL HERRERA
Credential	:
Telephone Number	:	719-696-9009

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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Directions to “VISION NOW OPTICS LLC ” Practice Location

Language	Start Address	Practice Location

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