Organization
TOM'S SPORTIQUE EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMIS BUELL ABOC (OWNER/OPTICIAN)
(303) 442-2010
Entity
Organization
Contact information
Practice address
3121 28TH ST, BOULDER, CO 80301-1315
(303) 442-2010
(303) 442-2010
Mailing address
3121 28TH ST, BOULDER, CO 80301-1315
(303) 442-2010
(303) 442-2010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
02/01/2011
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