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DR. MEGAN BACA O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1245671130

Individual Registrant:
DR. MEGAN  BACA O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
515 MAIN ST  WINDSOR, CO 80550-5131 US
Tel: 970-460-0154  Fax: 970-460-3032

Contact information for business:
515 MAIN ST  WINDSOR, CO 80550-5131 US
Tel: 970-460-0154  Fax: 970-460-3032

Registration Information:
NPI: 1245671130
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CO0002989

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
06021581CO05




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