| NPI | 1386826048 |
|---|---|
| Doing Business As | CITADEL VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROARK CEO 719-597-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1490) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-12-18 |