| NPI | 1346886587 |
|---|---|
| Doing Business As | TABLE MOUNTAIN VISION |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE PETERSON Optometrist 303-271-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-04-20 |