NPI 1083134431
Kids Spectacle Shop
Practice location
- Address
- 2575 Pearl St STE 1c, Boulder, CO 80302-3851
- Phone
- (303) 442-6260
- Mailing address
- 3248 W 11th Avenue Pl, Broomfield, CO 80020-1061
Authorised official
- Name
- Dylon Storey
- Title
- Owner
- Phone
- (316) 807-2720
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1083134431
- Entity type
- Organization
- NPI issued
- 26 Jun 2017
- Record last updated
- 3 Aug 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.