Organization
VISION SOURCE FIRESTONE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KAMINSKI (PRESIDENT)
(303) 772-2755
Entity
Organization
Contact information
Practice address
6120 FIRESTONE BLVD, SUITE 403, FIRESTONE, CO 80520
(303) 772-2755
Mailing address
6120 FIRESTONE BLVD, SUITE 403, FIRESTONE, CO 80520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1875
CO
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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