| NPI | 1346419777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD DAUGHERTY Owner Optician 719-636-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |