Organization
ADVANCED EYE CARE OF COLORADO SPRINGS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY T IKEHARA O.D. (OWNER)
(719) 955-3500
Entity
Organization
Contact information
Practice address
5410 POWERS CENTER PT, SUITE 130, COLORADO SPRINGS, CO 80920-7146
(719) 955-3500
(719) 955-0481
Mailing address
5410 POWERS CENTER PT, SUITE 130, COLORADO SPRINGS, CO 80920-7146
(719) 955-3500
(719) 955-0481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2146
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89706277
—
CO
Enumeration date
12/12/2007
Last updated
12/12/2007
Update your record
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