| NPI | 1366565434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R WHALEN Owner 303-761-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 32608) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2110) |
| 207W00000X Ophthalmology (Licence: CO 23075) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-01-24 |