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Contact Information

CORTEZ VISION PC
2423 E MAIN ST STE 4
CORTEZ, CO81321-4269
 Phone: 970-565-2020
 Fax: 970-565-3632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CORTEZ VISION PC

NPI # 1992868194
LBN Legal business name CORTEZ VISION PC
Authorized official BRYCE TANNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 03/14/2024 - About 2 years ago
Identifiers
CO License # 2046
CO License # 2803
CO License # 904
CO Medicaid 06979238
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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