Organization
PROFESSIONAL OPTICAL AT WOODMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN M WATT (MANAGER)
(719) 535-9270
Entity
Organization
Contact information
Practice address
7075 CAMPUS DR, SUITE 100, COLORADO SPRINGS, CO 80920-6523
(719) 535-9270
Mailing address
7075 CAMPUS DR, SUITE 100, COLORADO SPRINGS, CO 80920-6523
(719) 535-9270
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/26/2012
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