Individual
STANLEY R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12450 YORK ST, THORNTON, CO 80241-2741
(303) 452-2020
(303) 452-0934
Mailing address
4 GARDEN CTR, STE 100, BROOMFIELD, CO 80020-7026
(303) 469-1941
(303) 469-6634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
830
CO
Other
Enumeration date
11/15/2006
Last updated
06/04/2012
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