Organization
SOWASH OPTOMETRY GROUP, PC
Active
Other names
Visionworks
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY REYNOLDS (DIRECTOR/MVC)
(210) 524-6515
Entity
Organization
Contact information
Practice address
15795 E ARAPAHOE RD, CENTENNIAL, CO 80016-1782
(303) 680-1987
(303) 680-6421
Mailing address
PO BOX 848209, DALLAS, TX 75284-8209
(210) 524-6771
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22387871
—
CO
Enumeration date
01/29/2014
Last updated
12/08/2014
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