Southern Colorado Family Eye Care, Pc

NPI 1124083977 - Optometrist - 152WC0802X

NPI Details
NPI 1124083977
Enumeration Date 04/17/2006
Last Updated 06/16/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JIRO JIRO
Position PRESIDENT
Phone (719) 390-8649
Fax
Practice Location
6310 S US HIGHWAY 85-87
FOUNTAIN CO, 80817-1006, US
Phone (719) 390-8649
Fax
Business Location
727 S BEAR PAW LN
COLORADO SPRINGS CO, 80906-3220, US
Phone
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Colorado
License Number OPT-2215
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According to our database, Southern Colorado Family Eye Care, Pc NPI is 1124083977, taxonomy code is 152WC0802X and license number is OPT-2215, license state is located at Colorado. Southern Colorado Family Eye Care, Pc physically located at 6310 S Us Highway 85-87, Fountain CO, 80817-1006. NPI Number 1033115704 has the healthcare provider type.

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1124083977 NPI number is provided on an as is basis without warranty of any kind. 1124083977 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Colorado Family Eye Care, Pc are for informational purposes only.