NPI | 1265514665 |
---|---|
Doing Business As | RIDGEVIEW OPTOMETRY |
Entity Type | Organization |
Authorized Contact | S MATHEW BUCHANAN President 719-495-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-10-18 |