Organization
LOW VISION SERVICES OF SO. CO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W THEUNE O.D. (PRESIDENT/OPTOMETRIST)
(719) 471-3200
Entity
Organization
Contact information
Practice address
5614 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 471-3200
(719) 471-3210
Mailing address
5614 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 471-3200
(719) 471-3210
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1283
CO
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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