| NPI | 1306057070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M MILHOLLAND Accounts Manager 970-243-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |