| NPI | 1023286804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY POPOWSKI O PT Ometrist/President 719-471-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2496) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-05-11 |