Organization
SKYLINE VISION OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STALLMAN (OFFICE MANAGER)
(719) 275-1523
Entity
Organization
Contact information
Practice address
700 MAIN ST, CANON CITY, CO 81212-3739
(719) 275-1523
(719) 275-6925
Mailing address
700 MAIN ST, CANON CITY, CO 81212-3739
(719) 275-1523
(719) 275-6925
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
CO
Other
Enumeration date
02/25/2011
Last updated
07/21/2022
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