NPI | 1346422607 |
---|---|
Doing Business As | VILLAGE OPTICAL |
Entity Type | Organization |
Authorized Contact | DEBI WELBORN Office Manager 970-223-0592 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT 1342) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO co1342) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2011-01-12 |