Provider Demographics
NPI:1396977906
Name:ROCKY MOUNTAIN FAMILY VISION, PC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN FAMILY VISION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOONOVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:970-377-0005
Mailing Address - Street 1:3609 S TIMBERLINE RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3430
Mailing Address - Country:US
Mailing Address - Phone:970-377-0005
Mailing Address - Fax:970-377-2520
Practice Address - Street 1:3609 S TIMBERLINE RD UNIT B
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3430
Practice Address - Country:US
Practice Address - Phone:970-377-0005
Practice Address - Fax:970-377-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2607152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty