Southern Colorado Eye Care Associates Pc

LBN: Southern Colorado Eye Care Associates Pc
Southern Colorado Eye Care Associates Pc is an health care organization with primary practice located at 1620 Fortino Blvd , Pueblo CO 81008-1856. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southern Colorado Eye Care Associates Pc can be contacted via phone (719) 542-3555, or through Cozzetta, Michael Ray via phone (719) 542-3555.

Contact Information

Primary practice address
1620 Fortino Blvd Pueblo CO 81008-1856
Phone: (719) 542-3555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cozzetta, Michael Ray Doctor of Optometry (OD)
Phone: (719) 542-3555

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Colorado

Profile Details

NPI number 1679744841
LBN Legal business name Southern Colorado Eye Care Associates Pc
DBA Doing business as
Authorized official Cozzetta, Michael Ray Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 11th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679744841 NPPES
Other 1043277973 PROVIDER NPI
MEDICAID 08013476 PROVIDER NPI

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