NPI | 1356309637 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID THEODORE LOHR Optometrist/CEO 719-266-9095 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1859) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1970) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-04-05 |