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AMEDCO COLORADO PLLC NPI 1306123096


NPI Information

NPI: 1306123096
Provider Name: AMEDCO COLORADO PLLC

Doing Business As: ST. LUKE'S EYE CARE & LASER CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1715 N WEBER ST
#360
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 471-4000
Get Directions

AMEDCO COLORADO PLLC is an ophthalmology in Colorado Springs, CO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. AMEDCO COLORADO PLLC NPI is 1306123096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Eye Care & Laser Center.

The provider's business location address is:

1715 N WEBER ST
#360
COLORADO SPRINGS, CO
ZIP 80907-532
Phone: (719) 471-4000
Fax: (719) 632-6088

The provider's authorized official is Erica Perreira .
The authorized official title is Chief Operating Officer and has the following contact phone number (877) 881-0022.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140322882MEDICAIDCOLORADO
21306123096OTHERCOLORADOUNITEDHEALTHCARE GROUP CONTRACT
3=========OTHERCOLORADOGROUP CONTRACTS: AETNA; BCBSCO; CIGNA; COFINITY; HUMANA;TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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