Organization
EVERGREEN OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELSEY BREANNE NOLASCO OD (OWNER/CEO)
(719) 403-0991
Entity
Organization
Contact information
Practice address
15 SPECTRUM LOOP, SUITE 125, COLORADO SPRINGS, CO 80921
(719) 661-0287
Mailing address
PO BOX 63780, COLORADO SPRINGS, CO 80962-3780
(719) 403-0991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
03/30/2022
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