Wiarda Optometry, Pllc

LBN: Wiarda Optometry, Pllc
Wiarda Optometry, Pllc is an health care organization with primary practice located at 4786 Mcmurry Ave Unit 2A , Fort Collins CO 80525-4499. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wiarda Optometry, Pllc can be contacted via phone (970) 204-4020, or through Wiarda, Noah Cole via phone (248) 467-4422.

Contact Information

Primary practice address
4786 Mcmurry Ave Unit 2A Fort Collins CO 80525-4499
Phone: (970) 204-4020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiarda, Noah Cole Doctor of Optometry (OD)
Phone: (248) 467-4422

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1093958514
LBN Legal business name Wiarda Optometry, Pllc
DBA Doing business as
Authorized official Wiarda, Noah Cole Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2009
Last updated Mar 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093958514 NPPES
Colorado MEDICAID 97237388

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