SOCO OPHTHALMOLOGY LLC NPI 1306644463

NPI Information

  • NPI: 1306644463
  • Provider Name: SOCO OPHTHALMOLOGY LLC
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Address: 1021 N MARKET PLZ
    PUEBLO WEST, CO
    ZIP 81007
  • Phone: (719) 257-3959

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NPI Details

SOCO OPHTHALMOLOGY LLC is a retina specialist ophthalmology in Pueblo West, CO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. SOCO OPHTHALMOLOGY LLC NPI is 1306644463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1021 N MARKET PLZ
PUEBLO WEST, CO
ZIP 81007-531
Phone: (719) 257-3959
Fax: (719) 257-3959

The provider's authorized official is Edward Stevenson .
The authorized official title is Member and has the following contact phone number (719) 257-3959.

The enumeration date for this NPI number is 3/5/2025 and was last updated on 3/5/2025.

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
1207WX0107XOphthalmologyRetina SpecialistYes

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: 11/21/2025

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