| NPI | 1134874092 |
|---|---|
| Other Name | EYE CENTER OF NORTHERN COLORADO OPTICAL LLC |
| Entity Type | Organization |
| Authorized Contact | CHERYL BARBER Provider Services Manager 970-221-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |