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Contact Information

ADVANCED EYE CARE OF COLORADO SPRINGS, PC
5410 POWERS CENTER PT
SUITE 130
COLORADO SPRINGS, CO80920-7146
 Phone: 719-955-3500
 Fax: 719-955-0481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYE CARE OF COLORADO SPRINGS, PC

NPI # 1427231414
LBN Legal business name ADVANCED EYE CARE OF COLORADO SPRINGS, PC
Authorized official TONY IKEHARA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2007
Last updated 12/12/2007 - About 18 years ago
Identifiers
CO License # 2146
CO Medicaid 89706277
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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