NPI 1114484656

Jennifer Havrilla LLC

Organisation Optometrist Fort Collins, CO

Practice location

Address: 2001 S Shields St STE J1, Fort Collins, CO 80526-1837
Phone: (970) 206-0100
Fax: (970) 206-0300

Authorised official

Name: Jennifer Havrilla
Title: Owner
Phone: (970) 206-0100

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Colorado →

Registry record

NPI: 1114484656
Entity type: Organization
NPI issued: 20 Feb 2019
Record last updated: 20 Feb 2019

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.