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Organization

CHILDRENS EYE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVE H LEE MD (OWNER PHYSICIAN)
(719) 574-1654
Entity
Organization

Contact information

Practice address
4110 BRIARGATE PKWY, SUITE 440, COLORADO SPRINGS, CO 80920-7835
(719) 574-1654
(719) 574-5381
Mailing address
8890 N UNION BLVD STE 205, COLORADO SPRINGS, CO 80920-2701
(719) 574-1654
(719) 574-5381

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
24447
CO
207W00000X
Ophthalmology Physician
Primary
42628
CO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04010674
CO
Enumeration date
09/13/2007
Last updated
09/09/2020
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