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Organization

OPTOM-EYES,LLC

Active
Other names
Optom-Eye,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA WALLS OD (OWNER)
(936) 443-4151
Entity
Organization

Contact information

Practice address
3585 VAN TEYLINGEN DR STE B, COLORADO SPRINGS, CO 80917-4872
(936) 443-4151
Mailing address
3585 VAN TEYLINGEN DR STE B, COLORADO SPRINGS, CO 80917-4872
(936) 443-4151

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351521ZGYB
CO
Enumeration date
03/09/2022
Last updated
03/09/2022
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