| NPI | 1851930879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANG HE Owner 720-238-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-02-10 |