| NPI | 1619586468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE MARIE 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 | 2022-07-29 |