| NPI | 1376959585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WATT President 719-302-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CO 2985) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |