| NPI | 1750613634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE S. MUNISHOR Sole Member 720-987-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CO 1235) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1235) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |