Organization
EYELAND, P.C.
Active
Other names
Eagle Eyes Vision Center North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ROARK O.D. (CEO)
(719) 528-8148
Entity
Organization
Contact information
Practice address
1955 DOMINION WAY STE 110, COLORADO SPRINGS, CO 80918-1480
(719) 528-8148
(719) 528-1819
Mailing address
1955 DOMINION WAY STE 110, COLORADO SPRINGS, CO 80918-1480
(719) 528-8148
(719) 528-1819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03339271
—
CO
Enumeration date
11/29/2007
Last updated
07/18/2008
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