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Organization

BRET W HARRISON

Active
Parent organization
BRET W. HARRISON O.D.
Other names
Bret W. Harrison O.D.
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRET W. HARRISON O.D.
Authorized official
MR. BRET W HARRISON O.D. (DOCTOR/OWNER)
(719) 268-1010
Entity
Organization

Contact information

Practice address
6140 TUTT BLVD, COLORADO SPRINGS, CO 80923-3575
(719) 268-1010
Mailing address
6140 TUTT BLVD, COLORADO SPRINGS, CO 80923-3575
(719) 268-1010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1128
CO
332H00000X
Eyewear Supplier
OPT1128
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104898220
NPI
CO
Enumeration date
02/18/2011
Last updated
03/08/2016
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