| NPI | 1467578278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M. DEMOSS Practice M Anager 303-393-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-07-12 |