Provider Demographics
NPI:1336345883
Name:WESTERN SLOPE EYE CARE, PLLC
Entity Type:Organization
Organization Name:WESTERN SLOPE EYE CARE, PLLC
Other - Org Name:DAVID M CALE, OD, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:970-245-6688
Mailing Address - Street 1:1190 BOOKCLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8133
Mailing Address - Country:US
Mailing Address - Phone:970-245-6688
Mailing Address - Fax:970-245-6689
Practice Address - Street 1:1190 BOOKCLIFF AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8133
Practice Address - Country:US
Practice Address - Phone:970-245-6688
Practice Address - Fax:970-245-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1655, 2522, 2735152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336345883OtherWESTERN SLOPE EYECARE NPI
CO1356548259OtherJARED F. HADLOCK NPI#
1932190097OtherDAVID M CALE NPI
CO1558599373OtherD'AUN M. HAJDU NPI#
1932190097OtherDAVID M CALE NPI
COCO305376Medicare PIN
CO1356548259OtherJARED F. HADLOCK NPI#
COC810775Medicare PIN
CO1558599373OtherD'AUN M. HAJDU NPI#