| NPI | 1114962651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE BRIDGES Practice Administrator 303-463-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-04-05 |