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CHILDRENS EYE CENTER PC NPI 1922293760


NPI Information

NPI: 1922293760
Provider Name: CHILDRENS EYE CENTER PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 06D2167288

Address:
4110 BRIARGATE PKWY
SUITE 440
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 574-1654
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CHILDRENS EYE CENTER PC 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. CHILDRENS EYE CENTER PC NPI is 1922293760. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4110 BRIARGATE PKWY
SUITE 440
COLORADO SPRINGS, CO
ZIP 80920-835
Phone: (719) 574-1654
Fax: (719) 574-5381

The provider's authorized official is Dave H Lee .
The authorized official title is Owner Physician and has the following contact phone number (719) 574-1654.

The CLIA number assigned to this NPI record is 06D2167288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 9/9/2020.


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
1207W00000XOphthalmology24447COLORADONo
2207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistNo
3207W00000XOphthalmology42628COLORADOYes

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
104010674MEDICAIDCOLORADO

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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