Organization
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Active
Parent organization
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Other names
All About Kids Vision Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT EYES VISION CLINIC PC A COLORADO PROFESSIONAL CORPORATION
Authorized official
JENNIFER KILLEN (CREDENTIALING SPECIALIST)
(719) 276-0344
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD STE 11, LAKEWOOD, CO 80214-5728
(303) 431-1221
Mailing address
326 DOZIER AVE, CANON CITY, CO 81212-2706
(719) 276-0344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000144064
—
CO
Enumeration date
11/03/2020
Last updated
11/05/2020
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