NPI | 1447346689 |
---|---|
Doing Business As | ADVANCED EYECARE |
Entity Type | Organization |
Authorized Contact | MARK RAYMOND RAHNER O PT Ometrist 970-247-8762 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2404) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 932) |
152W00000X Optometrist (Licence: CO 1168) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-12-26 |