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Contact Information

RETINA CONSULTANTS OF SOUTHERN COLORADO P C
10035 PEARL PASS VIEW
SUITE 110
COLORADO SPRINGS, CO80924
 Phone: 719-473-9595
 Fax: 719-227-0669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RETINA CONSULTANTS OF SOUTHERN COLORADO P C

NPI # 1831714237
LBN Legal business name RETINA CONSULTANTS OF SOUTHERN COLORADO P C
Authorized official CHRISSY BEAL - (FRONT OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2020
Last updated 06/11/2020 - About 6 years ago
Identifiers
CO Medicaid 1013250240
CO Medicaid 67174787
CO Medicaid 9000173749
CO Medicaid 9000181814
CO Medicaid 93008716
CO Medicaid 97656372
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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