Organization
NORTHGATE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L KELLEY O.D. (OPTOMETRIST)
(719) 487-1511
Entity
Organization
Contact information
Practice address
12265 ORACLE BLVD, SUITE 120, COLORADO SPRINGS, CO 80921-3764
(719) 487-1511
(719) 487-9480
Mailing address
12265 ORACLE BLVD, SUITE 120, COLORADO SPRINGS, CO 80921-3764
(719) 487-1511
(719) 487-9480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1632
CO
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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