| NPI | 1659115905 |
|---|---|
| Doing Business As | CREATIVE EYEWORKS |
| Entity Type | Organization |
| Authorized Contact | KATIE LYNN KONKEN Owner/O PT Ician 970-520-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-28 |