| NPI | 1639772494 |
|---|---|
| Doing Business As | ICON EYECARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ELLISON CEO 720-524-1001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |