Organization
CHILDRENS EYE CENTER PC
Active
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
Update your record
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