| NPI | 1033204136 |
|---|---|
| Doing Business As | BROADWAY EYE & VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT OBERBRECKLING Owner 303-938-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO co1975) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-07-24 |