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Contact Information

COLLEGIATE PEAKS EYECARE PLLC
421 HWY 24 S
BUENA VISTA, CO81211-3179
 Phone: 719-581-4060
 Fax: 719-631-2577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COLLEGIATE PEAKS EYECARE PLLC · (Female)

NPI # 1184033490
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2014
Last updated 06/23/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 3040
  • CO Medicaid 46203770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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