Organization
MOUNTAIN SHADOWS VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HIGASHI-REYNOLDS (MANAGER)
(719) 590-1744
Entity
Organization
Contact information
Practice address
1910 VINDICATOR DR STE 102, COLORADO SPRINGS, CO 80919-3618
(719) 590-1744
Mailing address
1910 VINDICATOR DR STE 102, COLORADO SPRINGS, CO 80919-3618
(719) 590-1744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1914
CO
Other
Enumeration date
09/22/2009
Last updated
12/31/2020
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