| NPI | 1699077446 |
|---|---|
| Doing Business As | LAKEWOOD EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE S WELLENSIEK Owner 303-915-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2022-01-08 |