| NPI | 1932517869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE SIMMONS President 719-559-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-05-11 |