Organization
IN-SIGHT OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERNHOLZ (PRESIDENT)
(719) 577-4366
Entity
Organization
Contact information
Practice address
12 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-1504
(719) 577-4366
Mailing address
12 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-1504
(719) 577-4366
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08100497
—
CO
Enumeration date
02/05/2008
Last updated
06/18/2008
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