National Provider Identifier Database

CCC OPTICAL PC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

CCC OPTICAL PC
190 TALISMAN DR
SUITE B4
PAGOSA SPRINGS, CO81147-9171
Phone: 970-731-4347
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CCC OPTICAL PC

NPI Number 1194713057
Legal business name
LBN
CCC OPTICAL PC
Authorized official CRAIG NELSON - (DOCTOR/OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 10/13/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 1409

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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