| NPI | 1750401501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN STACK Owner Optician 303-321-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CO 21075280000) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-05-24 |