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EYE SPECIALISTS OF COLORADO LLC NPI 1811076466


NPI Information

NPI: 1811076466
Provider Name: EYE SPECIALISTS OF COLORADO LLC

Other Name: CHARLES D MCMAHON MD LLC DBA ST LUKES EYE CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3245 INTERNATIONAL CIR STE 102
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 633-8000
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EYE SPECIALISTS OF COLORADO LLC is a specialist in Colorado Springs, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EYE SPECIALISTS OF COLORADO LLC NPI is 1811076466. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Charles D Mcmahon Md Llc Dba St Lukes Eye Care.

The provider's business location address is:

3245 INTERNATIONAL CIR STE 102
COLORADO SPRINGS, CO
ZIP 80910-152
Phone: (719) 633-8000
Fax: (719) 434-8855

The provider's authorized official is Charles Dewey Mcmahon .
The authorized official title is Ownerophthalmologist and has the following contact phone number (719) 633-8000.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2156F00000XTechnician/TechnologistNo
3207W00000XOphthalmology188COLORADONo
4174400000XSpecialistYes

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
104015764MEDICAIDCOLORADO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.