NPI | 1386014397 |
---|---|
Doing Business As | COLLEGE OPTICAL |
Entity Type | Organization |
Authorized Contact | JEFFREY BOYACE HOLLAND Owner 303-444-3092 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO CO2298) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CO CO2298) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2015-10-06 |