NPI | 1710548904 |
---|---|
Doing Business As | BLACK DIAMOND EYE CARE |
Entity Type | Organization |
Authorized Contact | JASON TROY ORTMAN Optometrist/Owner 303-688-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |