IndividualActive
Kelly Gardea
NPI 1043004278 · Optician · Alamosa, CO
Provider details
- NPI number
- 1043004278
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 264269 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3333 Clark St
Alamosa, CO 81101-2050
Phone: (719) 587-3803
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Clark St
Alamosa, CO 81101-2050
Registry dates
- Enumerated
- 2025-04-04
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.