| Havrilla Vision Professional Llc | |
|
551 S Hover St, Longmont, CO 80501-7920 | |
| (970) 629-1325 | |
| Not Available |
| Full Name | Havrilla Vision Professional Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 551 S Hover St, Longmont, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043561863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0002925 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Havrilla Vision Professional Llc 704 E 5th St, Loveland, CO 80537-5744 Ph: (970) 629-1325 | Havrilla Vision Professional Llc 551 S Hover St, Longmont, CO 80501-7920 Ph: (970) 629-1325 |
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