| NPI | 1407009996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY BATEMAN Office Manager 970-223-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: CO OPT781) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |