| NPI | 1649508797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE C KRUHSBERG Master Optician/Owner/Manager 303-844-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001592) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |