| NPI | 1801029210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GILBERT PHARRIS Member/Owner 719-561-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CO 1462) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |