Organization
SKYLINE VISION OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HARMON (DIRECTOR)
(719) 630-3937
Entity
Organization
Contact information
Practice address
2776 E MAIN ST, CANON CITY, CO 81212-4010
(719) 275-1523
(719) 275-6925
Mailing address
2776 E MAIN ST, CANON CITY, CO 81212-4010
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
02/13/2017
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