| NPI | 1629795851 |
|---|---|
| Doing Business As | BOULDER EYE SURGEONS |
| Entity Type | Organization |
| Authorized Contact | NIKISHA GRAY Credentialing 307-773-7144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |