| NPI | 1831389030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER T ROE Owner 303-758-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 24061) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1145) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-11-03 |