| NPI | 1750411062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M HULETT Administrator 719-545-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 152W00000X Optometrist | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-06-17 |