Provider Demographics
NPI:1609534452
Name:PANORAMA EYE CARE
Entity Type:Organization
Organization Name:PANORAMA EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER SERVICES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-221-2222
Mailing Address - Street 1:2809 E HARMONY RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528
Mailing Address - Country:US
Mailing Address - Phone:702-212-2229
Mailing Address - Fax:970-837-3263
Practice Address - Street 1:1725 EAST PROSPECT ROAD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-221-2222
Practice Address - Fax:970-837-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty