Orchard Eye Center Pc in Grand Junction - Specialist

Orchard Eye Center Pc - NPI 1679634471

Orchard Eye Center Pc is a Specialist in Grand Junction, Colorado. Orchard Eye Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Orchard Eye Center Pc is 1679634471. The last update date is 2008-04-20.

Orchard Eye Center Pc's current location address is 2403 N 12th St, Grand Junction, Colorado. You can contact this provider via phone number 9702438697 and fax number 9702438698. The mailing address for Orchard Eye Center Pc is 2403 N 12th St, Grand Junction, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Orchard Eye Center Pc
Address 2403 N 12th St, Grand Junction, Colorado
Phone Number 9702438697
Fax Number 9702438698
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING MA
Authorized Official Name Routh R Kelley
Credentials CPC
Telephone Number 9702438697

NPI Number Detail

NPI Number 1679634471
Provider Enumeration Date 2006-12-13
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 2403 N 12th St
City Grand Junction
State Colorado (CO)
Post Code 815018130
Phone Number 9702438697
Fax Number 9702438698

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36956
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
917805 CO SECURE HORIZON
634810 CO BCBS INDIVIDUAL
GEG9008 CO BCBS GROUP
1369560 CO --

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FAQs about Orchard Eye Center Pc

What is the unique 10-digit identifier code issued to Orchard Eye Center Pc by the Centers for Medicare & Medicaid Services?

The Orchard Eye Center Pc has been assigned the NPI (National Provider Identifier) 1679634471 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Orchard Eye Center Pc is physically located?

The Orchard Eye Center Pc is situated at the following address: 2403 N 12Th St, Grand Junction, CO 815018130.

What is Orchard Eye Center Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Orchard Eye Center Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679634471 to Orchard Eye Center Pc?

The Orchard Eye Center Pc received its 1679634471 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date were the Orchard Eye Center Pc's details last updated?

The information pertaining to the Orchard Eye Center Pc, including its address, specialty, and other details, was most recently updated on 2008-04-20.

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