Organization
PETERSON FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PETERSON O.D. (PRESIDENT)
(719) 599-9393
Entity
Organization
Contact information
Practice address
6665 DELMONICO DR, STE. A, COLORADO SPRINGS, CO 80919-6801
(719) 599-9393
Mailing address
6665 DELMONICO DR, STE. A, COLORADO SPRINGS, CO 80919-6801
(719) 599-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2804
CO
Other
Enumeration date
04/14/2011
Last updated
04/25/2013
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