| NPI | 1679303283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY W. SMITH Owner/Optometrist 719-544-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-12-11 |