| Out There Eyecare Llc | |
|
1510 W Main St, Sterling, CO 80751-9095 | |
| (970) 522-9095 | |
| (970) 522-5953 |
| Full Name | Out There Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1510 W Main St, Sterling, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598530750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jake Ballard Lumpkin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245756105 PECOS PAC ID: 6709234545 Enrollment ID: I20231227002442 |
| Mailing Address | Practice Location Address |
|---|---|
| Out There Eyecare Llc 10990 County Road 28, Ovid, CO 80744-9430 Ph: (970) 522-9192 | Out There Eyecare Llc 1510 W Main St, Sterling, CO 80751-9095 Ph: (970) 522-9095 |
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