RETINA CONSULTANTS OF SOUTHERN COLORADO P C NPI 1396389680

NPI Information

NPI: 1396389680
Provider Name: RETINA CONSULTANTS OF SOUTHERN COLORADO P C
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
2770 N UNION BLVD STE 140
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 473-9595
Get Directions

RETINA CONSULTANTS OF SOUTHERN COLORADO P C is a retina specialist ophthalmology in Colorado Springs, CO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CONSULTANTS OF SOUTHERN COLORADO P C NPI is 1396389680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2770 N UNION BLVD STE 140
COLORADO SPRINGS, CO
ZIP 80909-183
Phone: (719) 473-9595
Fax: (719) 227-0669

The provider's authorized official is Sundie Capobianco .
The authorized official title is Billing Supervisor and has the following contact phone number (719) 473-9595.

The enumeration date for this NPI number is 10/30/2019 and was last updated on 3/31/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9000173749	MEDICAID	COLORADO
2	97656372	MEDICAID	COLORADO
3	67174787	MEDICAID	COLORADO
4	01280791	MEDICAID	COLORADO
5	1013250240	MEDICAID	COLORADO
6	93008716	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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