| NPI | 1902080716 |
|---|---|
| Doing Business As | COLUMBINE EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID KIM CROCKETT President/ Optometrist 303-238-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO ESP1196) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2009-02-03 |