Organization
IMPACT VISION THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WATT (PRESIDENT)
(719) 302-8922
Entity
Organization
Contact information
Practice address
595 CHAPEL HILLS DR, STE 101, COLORADO SPRINGS, CO 80920-1022
(719) 302-8922
Mailing address
595 CHAPEL HILLS DR, STE 101, COLORADO SPRINGS, CO 80920-1022
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2985
CO
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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