| NPI | 1518205772 |
|---|---|
| Former Legal Business Name | CORTEZ VISION |
| Entity Type | Organization |
| Authorized Contact | VALERIE LORRAINE SHARPE Optometrist 970-708-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 2891) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |