| NPI | 1093774572 |
|---|---|
| Doing Business As | AVENUE VISION/BERGEN PARK VISION |
| Entity Type | Organization |
| Authorized Contact | EVA K. STRUBE Optometrust 303-279-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CO 1109) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |