Organization
OLDE TOWNE OPTICAL AND GIFTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD DAUGHERTY BA ABOC (OWNER OPTICIAN)
(719) 636-3012
Entity
Organization
Contact information
Practice address
3012 W COLORADO AVE, COLORADO SPRINGS, CO 80904-2147
(719) 636-3012
(719) 636-3014
Mailing address
3012 W COLORADO AVE, COLORADO SPRINGS, CO 80904-2147
(719) 636-3012
(719) 636-3014
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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