Elite Vision, P.C.
Optometrist in Colorado Springs, CO. Organization (NPI-2).
NPI number1023286804
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1023286804
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Vision, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 14, 2008
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2496 | CO | Yes |
Practice location
4195 Centennial BlvdColorado Springs, CO 80907-3767
Phone 719-471-1107
Mailing address
4195 Centennial BlvdColorado Springs, CO 80907-3767
Phone 719-471-1107
Authorized official
Leroy Popowski
Optometrist/President
7194711107
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