Healthcare Provider Details

I. General information

NPI: 1396995635
Provider Name (Legal Business Name): DR THOMAS P SUTTON OPTOMETRIST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 HOLLOW BROOK DR
COLORADO SPRINGS CO
80918-1444
US

IV. Provider business mailing address

2111 N WEBER ST
COLORADO SPRINGS CO
80907-6929
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-7111
  • Fax: 719-598-1592
Mailing address:
  • Phone: 719-632-5192
  • Fax: 719-632-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRIS M TYLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 719-632-5192