East West Optical Ventures LLC

NPI #1275860884 in Edwards, Colorado

Provider Information

NPI Number
1275860884
Entity Type
Organization
Organization Name
East West Optical Ventures LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Nov 3, 2009
Last Updated
Mar 1, 2013

Practice Location

Address
56 EDWARDS VILLAGE BLVD
Address 2
UNIT 117
ZIP Code
81632-7802
Phone
(970) 926-1756

Authorized Official

Name
ORLANDO MARTINEZ SR., OPTICIAN
Title
MANAGER
Phone
(970) 926-1756

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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