NPI | 1417193079 |
---|---|
Doing Business As | MONTE VISTA EYE CARE EAST |
Entity Type | Organization |
Authorized Contact | PAUL WILLIAM HEERSINK President 719-852-3412 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 990) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2008-12-31 |