| NPI | 1235802943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SODIC Practice Administrator 719-471-2020 |
| 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 | 2021-10-14 |