| NPI | 1003167941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABY JANE FAYTAREN Chief Financial Officer 719-623-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: 150964) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |