NPI 1003909482

Blake G. Simmons, OD

Practitioner Optometrist Colorado Springs, CO

Practice location

Address: 320 E Fontanero St STE 201, Colorado Springs, CO 80907-7525
Phone: (719) 559-2020
Fax: (719) 623-6088

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT-2588 (CO)

Other Optometrist providers in Colorado →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1756 (KS)

Registry record

NPI: 1003909482
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2006
Record last updated: 9 Mar 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.