Individual
MR. TERRY W CLEAVELAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CERTIFIED OPTICIAN
Contact information
Practice address
3361 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5103
(719) 573-9425
(719) 597-6113
Mailing address
3361 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5103
(719) 573-9425
(719) 597-6113
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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