Organization
THE OPTICAL GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN E PEABODY (OWNER)
(303) 690-1696
Entity
Organization
Contact information
Practice address
4252 S CHAMBERS RD, AURORA, CO 80014-4130
(303) 690-1696
(303) 617-9163
Mailing address
4252 S CHAMBERS RD, AURORA, CO 80014-4130
(303) 690-1696
(303) 617-9163
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/11/2007
Last updated
08/22/2020
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