| Eaton Vision Clinic Llc | |
|
215 Elm Ave, Eaton, CO 80615-3428 | |
| (970) 454-3387 | |
| (970) 454-3380 |
| Full Name | Eaton Vision Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 215 Elm Ave, Eaton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376612143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 1014 (Colorado) | Primary |
| Provider Name | Michael C Sturm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780815076 PECOS PAC ID: 1759566714 Enrollment ID: I20110506000456 |
| Provider Name | Maryn C Sturm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942516646 PECOS PAC ID: 0840475802 Enrollment ID: I20110506000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Vision Clinic Llc 215 Elm Ave, Eaton, CO 80615-3428 Ph: (970) 454-3387 | Eaton Vision Clinic Llc 215 Elm Ave, Eaton, CO 80615-3428 Ph: (970) 454-3387 |
Dr. Donald R Simonson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 Fax: 970-454-3380 | |
Dr. Heather M Simonson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 Fax: 970-454-3380 | |
Dr. Maryn Caprice Sturm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Elm Ave, Eaton, CO 80615 Phone: 970-454-3387 |