| NPI | 1235802943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LYNNE HERNANDEZ Coa 719-484-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-05-13 |