| NPI | 1679582480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E RANDY CRAVEN Owner 303-794-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2148) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 15013) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-05-05 |