| NPI | 1811031859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY RAY PEDERSON Owner 303-798-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CO 724) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-17 |