| NPI | 1518939834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G PETTY Owner 970-565-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CO 28-1598318) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-10-25 |