Organization
MITCHELL J MAYO
Active
Other names
Mayo Ocular Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL MAYO BCO (OWNER)
(719) 272-6416
Entity
Organization
Contact information
Practice address
2155 HOLLOW BROOK DR, STE 40, COLORADO SPRINGS, CO 80918-1451
(719) 272-6416
(719) 272-6408
Mailing address
2155 HOLLOW BROOK DR, STE 40, COLORADO SPRINGS, CO 80918-1451
(719) 272-6416
(719) 272-6408
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07137214
—
CO
Enumeration date
01/30/2008
Last updated
02/10/2020
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