| Executive Park Eye Care, Pllc | |
|
9240 Explorer Dr Ste 100, Colorado Springs, CO 80920-5004 | |
| (719) 574-7000 | |
| (719) 597-1712 |
| Full Name | Executive Park Eye Care, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9240 Explorer Dr Ste 100, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528156734 | NPI | - | NPPES |
| 27239721 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeanne R Derber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013976224 PECOS PAC ID: 6507764719 Enrollment ID: I20100816000204 |
| Provider Name | Curtis W Gales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689633463 PECOS PAC ID: 5193918555 Enrollment ID: I20101019000523 |
| Provider Name | Caitlin Allyse Maciejewski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699177840 PECOS PAC ID: 2365792785 Enrollment ID: I20180906000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Park Eye Care, Pllc 9240 Explorer Dr Ste 100, Colorado Springs, CO 80920-5004 Ph: (719) 574-7000 | Executive Park Eye Care, Pllc 9240 Explorer Dr Ste 100, Colorado Springs, CO 80920-5004 Ph: (719) 574-7000 |
Michael Millsap, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8250 Razorback Rd, Colorado Springs, CO 80920 Phone: 719-260-8230 Fax: 719-260-1235 | |
Joseph P Austin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7238 N Academy Blvd, Colorado Springs, CO 80920 Phone: 719-592-9991 Fax: 719-260-6251 | |
Elevate Optometry Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4425 Venetucci Blvd, Colorado Springs, CO 80906 Phone: 719-313-4382 | |
Dr. Blake G. Simmons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 E Fontanero St Ste 201, Colorado Springs, CO 80907 Phone: 719-559-2020 Fax: 719-623-6088 | |
Academy Kids Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3630 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918 Phone: 719-304-5400 Fax: 719-304-5409 | |
Jeanne Ruth Derber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9240 Explorer Dr Ste 100, Colorado Springs, CO 80920 Phone: 719-574-7000 Fax: 719-597-1712 | |
Elite Vision, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4195 Centennial Blvd, Colorado Springs, CO 80907 Phone: 719-471-1107 |