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Organization

YOUR CHILD'S EYES, LLC

Active
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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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