Organization
YOUR CHILD'S EYES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GILBERT PHARRIS JR. OD (MEMBER/OWNER)
(719) 561-2812
Entity
Organization
Contact information
Practice address
900 INDIANA AVE STE D, PUEBLO, CO 81004-3767
(719) 561-2812
(719) 561-2056
Mailing address
900 INDIANA AVE STE D, PUEBLO, CO 81004-3767
(719) 561-2812
(719) 561-2056
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
1462
CO
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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