| NPI | 1043325806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER TRUDELL Owner 303-651-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1188) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 915) |
| 152W00000X Optometrist (Licence: CO 2365) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-01-17 |