EIDOLON MEDICAL SERVICES PLLC NPI 1770329633

NPI Information

  • NPI: 1770329633
  • Provider Name: EIDOLON MEDICAL SERVICES PLLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 1056 EAGLERIDGE BLVD
    PUEBLO, CO
    ZIP 81008
  • Phone: (719) 568-0815

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NPI Details

EIDOLON MEDICAL SERVICES PLLC is an ophthalmology in Pueblo, 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. EIDOLON MEDICAL SERVICES PLLC NPI is 1770329633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1056 EAGLERIDGE BLVD
PUEBLO, CO
ZIP 81008-159
Phone: (719) 568-0815
Fax: (719) 631-2564

The provider's authorized official is Eric Edgerton Blom .
The authorized official title is Managing Member and has the following contact phone number (719) 252-7734.

The enumeration date for this NPI number is 7/1/2024 and was last updated on 7/1/2024.

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
1207W00000XOphthalmologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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