Organization
PROFESSIONAL OPTICAL
Active
Organization
PROFESSIONAL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA A MCCOLLOUGH ABOC (MANAGER)
(719) 471-3937
Entity
Organization
Contact information
Practice address
525 N TEJON ST, COLORADO SPRINGS, CO 80903-1109
(719) 471-3937
Mailing address
525 N TEJON ST, COLORADO SPRINGS, CO 80903-1109
(719) 471-3937
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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