Organization
YAH OPTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HERRERA (BUSINESS MANAGER)
(719) 696-9009
Entity
Organization
Contact information
Practice address
2116 FREEDOM RD # 40, TRINIDAD, CO 81082-1210
(719) 422-6160
(719) 422-6158
Mailing address
2568 TAYLOR LN, PUEBLO, CO 81005-2743
(719) 733-3060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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