| NPI | 1457817405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W COATNEY Ophthalmologist 719-545-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |