Individual
MARIA T BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1130 LAKE PLAZA DR, SUITE 230, COLORADO SPRINGS, CO 80906-3594
(719) 219-3819
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4560
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC4485
FL
152W00000X
Optometrist
Primary
OPT.0002959
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC4485
LICENSE
FL
01
—
OPT 2959
LICENSE
CO
Enumeration date
08/18/2009
Last updated
02/11/2025
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