| NPI | 1336213610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALDAG Administrator 719-545-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-01-15 |