Charles Gallegos, O.D. Valid NPI

Individual provider · Optometrist · Evans, CO

NPI

1609283902

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

OPT.0003071 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2014-07-18

Last updated

2020-03-18