NPI | 1225783202 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL BARBER Provider Services Manager 970-221-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2022-02-17 |
Last Update Date | 2022-02-17 |