| NPI | 1053511345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M MILHOLLAND Accounts Manager 970-243-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1453) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-02-09 |