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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

NPI Number 1184033490
LBN Legal business name COLLEGIATE PEAKS EYECARE PLLC
Authorized official MATTHEW SCOTT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2014
Last updated 06/23/2016 - About 10 years ago
Identifiers
CO License # 3040
CO Medicaid 46203770
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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