Organization Name: | SOUTHERN COLORADO FAMILY EYE CARE, PC |
NPI Number: | 1124083977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIRO KAMEOKA (PRESIDENT) |
Mailing Address: | 6310 S Us Highway 85-87 Fountain |
State: | CO US |
Postal Code: | 808171006 |
Phone Number: | 7193908649 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OPT-2215 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |