Colorado Vision
Optometrist in Colorado Springs, CO. Organization (NPI-2).
NPI number1669932679
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1669932679
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorado Vision
- Organization subpart
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
353 N Academy BlvdColorado Springs, CO 80909-6605
Phone 719-574-3300
Mailing address
320 E Fontanero St Ste 201Colorado Springs, CO 80907-7525
Phone 719-559-2020 · Fax 719-632-6088
Other practice locations
8250 Razorback Rd
Colorado Springs, CO 80920-3995
Colorado Springs, CO 80920-3995
Phone 719-593-2300
Authorized official
Blake Simmons
President
7195592020
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