Jeffrey B Holland Od PC
Optometrist in Boulder, CO. Organization (NPI-2).
NPI number1386014397
StatusActive
Last updated in NPPESOct 6, 2015
Details
- NPI
- 1386014397
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey B Holland Od PC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2015
- Last updated
- Oct 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | CO2298 | CO | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | CO2298 | CO |
Other names
- College Optical (Doing Business As)
Practice location
1350 College Ave Unit 100Boulder, CO 80302-7389
Phone 303-444-3092 · Fax 303-938-0572
Mailing address
1350 College Ave Unit 100Boulder, CO 80302-7389
Phone 303-444-3092 · Fax 303-938-0572
Authorized official
Jeffrey Boyace Holland
Owner
3034443092
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