| NPI | 1720223647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE LOUISE GOETTSCH Optician 303-237-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 25-44623-0000) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |