| NPI | 1619274198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET W HARRISON Doctor/Owner 719-268-1010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT1128) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: CO OPT1128) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2016-03-08 |