THEODORE W ARCHDALE

ARCHDALE OPTOMETRY CORPORATION

Dr THEODORE W ARCHDALE is a male medical professional, specializing in Optometry. He graduated in 1989 from Illinois College Of Optometry At Chicago.

Contact

ARCHDALE OPTOMETRY CORPORATION

7095 LEXINGTON DR
COLORADO SPRINGS
CO
809186329

Tel: 7196384010

THEODORE W ARCHDALE Information

Npi 1588660161
Pac Id 4082608849
Professional Enrollment Id I20110104001102
Last Name ARCHDALE
First Name THEODORE
Middle Name W
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1989
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ARCHDALE OPTOMETRY CORPORATION
Group Practice Pac Id 0345216461
Number Of Group Practice Members 4
Line 1 Street Address 7095 LEXINGTON DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLORADO SPRINGS
State CO
Zip Code 809186329
Phone Number 7196384010
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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