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Contact Information

CCC OPTICAL PC
480 WOLVERINE DR
SUITE 5
BAYFIELD, CO81122-9653
 Phone: 970-884-6188
 Fax: 970-884-2869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CCC OPTICAL PC

NPI Number 1184612616
LBN Legal business name CCC OPTICAL PC
Authorized official CRAIG NELSON - (DOCTOR/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2005
Last updated 01/05/2009 - About 17 years ago
Identifiers
CO License # 1409
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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