| NPI | 1114154804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MORTENSON Optometrist 720-565-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 2573) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2011-02-23 |