NPI | 1235739772 |
---|---|
Doing Business As | LOOK ON MAIN |
Entity Type | Organization |
Authorized Contact | JANELLE SIMPSON Billing Specialist 970-245-6688 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-10-26 |
Last Update Date | 2020-10-26 |