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Contact Information

CCC OPTICAL PC
190 TALISMAN DR
SUITE B4
PAGOSA SPRINGS, CO81147-9171
 Phone: 970-731-4347
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CCC OPTICAL PC

NPI # 1194713057
LBN Legal business name CCC OPTICAL PC
Authorized official CRAIG NELSON - (DOCTOR/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 1409
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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