Organization
EYELAND, P.C.
Active
Other names
Citadel Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROARK O.D. (CEO)
(719) 597-4423
Entity
Organization
Contact information
Practice address
3510 GALLEY RD STE 101, COLORADO SPRINGS, CO 80909-4353
(719) 597-4423
Mailing address
3510 GALLEY RD STE 101, COLORADO SPRINGS, CO 80909-4353
(719) 597-4423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015913
—
CO
Enumeration date
12/04/2007
Last updated
12/18/2008
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