| NPI | 1568605814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIDAD ARTAGRACE VALME Optometrist 719-826-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006890) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2010-04-08 |