Organization
TRACY WELLS, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY WELLS OD (OWNER/OPTOMETRIST)
(719) 590-1765
Entity
Organization
Contact information
Practice address
4092 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-5905
(719) 590-1765
(719) 590-9603
Mailing address
4092 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-5905
(719) 590-1765
(719) 590-9603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1420
CO
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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