Western States Optical, Inc.

NPI #1013522010 in Colorado Springs, Colorado

Provider Information

NPI Number: 1013522010
Entity Type: Organization
Organization Name: Western States Optical, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 15, 2020
Last Updated: Jul 3, 2024

Practice Location

Address: 1268 INTERQUEST PKWY STE 120
City: Colorado Springs
State: Colorado
ZIP Code: 80921-4209
Phone: (719) 639-7014

Authorized Official

Name: MR. ROBERT LEE WALTERS
Title: LICENSED OPERATOR
Phone: (540) 424-6921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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