| NPI | 1083888721 |
|---|---|
| Doing Business As | KODI FIDLER O.D., L.L.C. |
| Entity Type | Organization |
| Authorized Contact | BRENT W FIDLER Optometrist 970-577-1027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-06-25 |