Whalio Doctors

NPI 1093229718

Fort Morgan Eye Care LLC

Organisation Clinic/Center Fort Morgan, CO

Practice location

Address
1100 Main St, Fort Morgan, CO 80701-2036
Phone
(970) 867-3046

Authorised official

Name
Jeffrey Ryan Wiedrich
Title
Optometrist
Phone
(806) 336-7105

Registered specialties

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence OPT.0002664 (CO)

Registry record

NPI
1093229718
Entity type
Organization
NPI issued
17 Nov 2017
Record last updated
11 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.