Organization
SPECTACLES DISTINCTIVE EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA SANDOVAL OPTICIAN (OPTICIAN)
(303) 781-9151
Entity
Organization
Contact information
Practice address
3601 S CLARKSON ST, SUITE 115, ENGLEWOOD, CO 80113-3944
(303) 781-9151
(303) 781-1343
Mailing address
3601 S CLARKSON ST, SUITE 115, ENGLEWOOD, CO 80113-3944
(303) 781-9151
(303) 781-1343
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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