| NPI | 1518214311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE J ANCTIL Doctor/Owner 719-632-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT1113) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CO OPT1113) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2014-12-19 |