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FOUR CORNERS EYE CLINIC PC NPI 1386875441


NPI Information

NPI: 1386875441
Provider Name: FOUR CORNERS EYE CLINIC, PC

Other Name: FOUR CORNERS EYE CLINIC PAGOSA

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 06D2187822

Address:
95 SOUTH PAGOSA BOULEVARD
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 259-2202
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FOUR CORNERS EYE CLINIC, PC is a specialist in Pagosa 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. FOUR CORNERS EYE CLINIC, PC NPI is 1386875441. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Four Corners Eye Clinic Pagosa.

The provider's business location address is:

95 SOUTH PAGOSA BOULEVARD
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 259-2202
Fax: (970) 259-2837

The provider's authorized official is Eric C Meyer .
The authorized official title is Owner and has the following contact phone number (970) 259-2202.

The CLIA number assigned to this NPI record is 06D2187822 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/6/2009.


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
1174400000XSpecialist39400COLORADOYes

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

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