| NPI | 1346671294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W THEUNE President/O PT Ometrist 719-471-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CO 1283) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |