NPI | 1598374332 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNETTE M BRIDGES CEO 303-456-9456 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist |
Additional Taxonomies | 152WP0200X Optometrist Pediatrics |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |