Provider Demographics
NPI:1477880011
Name:TODAYS VISION CARE INC
Entity Type:Organization
Organization Name:TODAYS VISION CARE INC
Other - Org Name:TODAYS VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILHOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-243-9681
Mailing Address - Street 1:2737 CROSSROADS BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-3954
Mailing Address - Country:US
Mailing Address - Phone:970-243-9681
Mailing Address - Fax:970-243-9155
Practice Address - Street 1:2737 CROSSROADS BLVD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-3954
Practice Address - Country:US
Practice Address - Phone:970-243-9681
Practice Address - Fax:970-243-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2779152W00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49623559Medicaid