| NPI | 1528629714 |
|---|---|
| Doing Business As | BLACK DIAMOND EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JASON TROY ORTMAN Optometrist/Owner 303-688-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |