| NPI | 1598788564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE FAIR Optometrist President Owner 303-659-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 645) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1123) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-06-25 |