| |
3630 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918-6663 | |
(719) 304-5400 | |
(719) 304-5409 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Medical Specialty |
Location | 3630 Austin Bluffs Pkwy Ste 120, Colorado Springs, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013330208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2221 E Bijou St Ste 100, Colorado Springs, CO 80909-8009 Ph: (719) 576-1850 | 3630 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918-6663 Ph: (719) 304-5400 |