| NPI | 1508903220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BURRELL Member 303-699-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 33900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1408) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-02-13 |