| NPI | 1205390101 |
|---|---|
| Doing Business As | HERITAGE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | TY CLASE President 303-431-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2024-05-20 |