Organization
MICHAEL MILLSAP, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MILLSAP OD (MANAGER)
(719) 260-8230
Entity
Organization
Contact information
Practice address
8250 RAZORBACK RD, COLORADO SPRINGS, CO 80920-3950
(719) 260-8230
(719) 260-1235
Mailing address
PO BOX 62026, COLORADO SPRINGS, CO 80962-2026
(719) 260-8230
(719) 260-1235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1365
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841440690
NPI
—
Enumeration date
04/29/2009
Last updated
11/06/2009
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