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Western States Optical, INC.

Eyewear Supplier (Equipment, not the service) in Colorado Springs, CO. Organization (NPI-2).

NPI number1013522010
StatusActive
Last updated in NPPESJul 3, 2024

Details

NPI
1013522010
Entity type
Organization (NPI-2)
Legal business name
Western States Optical, INC.
Organization subpart
No
Enumeration date
Sep 15, 2020
Certification date
Jun 28, 2024
Last updated
Jul 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Pearle Vision Eyecare Of Colorado Springs (Doing Business As)

Practice location

1268 Interquest Pkwy Ste 120
Colorado Springs, CO 80921-4209

Phone 719-639-7014

Mailing address

1268 Interquest Pkwy Ste 120
Colorado Springs, CO 80921-4209

Phone 540-424-6921

Authorized official

Robert Lee Walters
Licensed Operator
5404246921

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