Organization
EYELAND, P.C.
Active
Other names
Eagle Eyes Vision Center South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROARK O.D. (CEO)
(719) 591-8889
Entity
Organization
Contact information
Practice address
2750 S ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80916-2852
(719) 591-8889
Mailing address
2750 S ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80916-2852
(719) 591-8889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68123876
—
CO
Enumeration date
12/04/2007
Last updated
07/18/2008
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