Whalio Doctors

NPI 1053581421

Maryjane Weil, OD

Practitioner Optometrist Fort Collins, CO

Practice location

Address
1625 Ticonderoga Dr, Fort Collins, CO 80525-3454
Phone
(970) 377-1090
Fax
(970) 493-9309

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2460 (CO)

Registry record

NPI
1053581421
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Mar 2008
Record last updated
2 Mar 2008

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.