Individual
DR. BLAKE G. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
320 E FONTANERO ST STE 201, COLORADO SPRINGS, CO 80907-7525
(719) 559-2020
(719) 623-6088
Mailing address
320 E FONTANERO ST STE 201, COLORADO SPRINGS, CO 80907-7525
(719) 559-2020
(719) 623-6088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1756
KS
152W00000X
Optometrist
Primary
OPT-2588
CO
Other
Enumeration date
09/30/2006
Last updated
03/09/2017
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