Organization
GLENEAGLE VISION CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SAXERUD O.D. (PRESIDENT)
(719) 660-5995
Entity
Organization
Contact information
Practice address
15435 GLENEAGLE DR, STE 110, COLORADO SPRINGS, CO 80921-2502
(719) 884-8480
Mailing address
15435 GLENEAGLE DR, SUITE 110, COLORADO SPRINGS, CO 80921-2502
(719) 884-8480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2474
CO
Other
Enumeration date
05/14/2007
Last updated
06/03/2009
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