| NPI | 1811256811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENVER C RUSHING Owner 580-223-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2023-04-05 |