NPI | 1609925163 |
---|---|
Former Legal Business Name | THOMAS P. SUTTON, O.D. |
Entity Type | Organization |
Authorized Contact | CHRIS M TYLER Administration 719-632-5192 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 1075) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2014-05-08 |