| NPI | 1184195117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RYAN ZWELLING Optometrist 303-905-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-02-12 |