| NPI | 1023462389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHARRIS Owner/ O PT Ometrist 719-576-1850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD NOTAPPLICABLE) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-07-26 |