Organization
SOUTHERN COLORADO FAMILY EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIRO KAMEOKA O.D. (PRESIDENT)
(719) 391-2317
Entity
Organization
Contact information
Practice address
6310 S US HIGHWAY 85-87, FOUNTAIN, CO 80817-1006
(719) 391-2317
Mailing address
727 S BEAR PAW LN, COLORADO SPRINGS, CO 80906-3220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-2215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47209771
—
CO
Enumeration date
04/17/2006
Last updated
03/17/2017
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