| NPI | 1336376482 |
|---|---|
| Doing Business As | FREDRIC IAN EYEWEAR |
| Entity Type | Organization |
| Authorized Contact | JENNIFER T CARR Optometrist 303-938-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO CO 2054) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2010-10-04 |