Rocky Mountain Eye Center Inc A Colorado Provider Network | |
27 Montebello Rd, Pueblo, CO 81001-1236 | |
(719) 545-1530 | |
(719) 545-2899 |
Full Name | Rocky Mountain Eye Center Inc A Colorado Provider Network |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 27 Montebello Rd, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073567459 | NPI | - | NPPES |
200521004 | Other | NM | NEW MEXICO MEDICARE |
04009478 | Medicaid | CO | |
85432067 | Medicaid | NM | |
CK7367 | Other | NM | RAILROAD MEDICARE |
ROK2008 | Other | CO | ANTHEM BCBS |
CK2008 | Other | CO | MEDICARE |
CQ2139 | Other | CO | RAILROAD MEDICARE |
608439600 | Other | CO | US DEP LABOR WORK COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Eric E Blom |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295784916 PECOS PAC ID: 0749219244 Enrollment ID: I20050804001081 |
Provider Name | Yvonne J Morrisey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033163472 PECOS PAC ID: 4587697701 Enrollment ID: I20050916000762 |
Provider Name | Michael E Millsap |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841440690 PECOS PAC ID: 2860539665 Enrollment ID: I20091028000080 |
Provider Name | Michael W Coatney |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164473682 PECOS PAC ID: 9638073323 Enrollment ID: I20091124000325 |
Provider Name | James A. Eickelman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851341267 PECOS PAC ID: 8123142981 Enrollment ID: I20100831000388 |
Provider Name | Paul D Rastrelli |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366492480 PECOS PAC ID: 5092758037 Enrollment ID: I20100903000550 |
Provider Name | Donald A Schlomer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700836210 PECOS PAC ID: 7012909310 Enrollment ID: I20100903000612 |
Provider Name | Cory W Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073563573 PECOS PAC ID: 6507980026 Enrollment ID: I20100903000652 |
Provider Name | Joseph Hartman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841499837 PECOS PAC ID: 3678666112 Enrollment ID: I20120215000900 |
Provider Name | Brandon J Tibbitts |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902184534 PECOS PAC ID: 4587811856 Enrollment ID: I20120822000403 |
Provider Name | Heather Kim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154761765 PECOS PAC ID: 7517100316 Enrollment ID: I20130827000159 |
Provider Name | David M Brown |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942614813 PECOS PAC ID: 3577781566 Enrollment ID: I20140904002521 |
Provider Name | Anna J Clark |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376831693 PECOS PAC ID: 3375868532 Enrollment ID: I20150210001428 |
Provider Name | Nicholas Chariton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427407287 PECOS PAC ID: 7214223056 Enrollment ID: I20160906000249 |
Provider Name | Nathan R Stevens |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801873401 PECOS PAC ID: 3072644244 Enrollment ID: I20161110001883 |
Provider Name | Scott A. Butikofer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184067308 PECOS PAC ID: 3274834916 Enrollment ID: I20170710002406 |
Provider Name | Brian Stanley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144739608 PECOS PAC ID: 2769893049 Enrollment ID: I20201117001304 |
Provider Name | Sumana Kommana |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255782173 PECOS PAC ID: 9436573748 Enrollment ID: I20210715000398 |
Provider Name | Matthew Newbold |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083283642 PECOS PAC ID: 3274936679 Enrollment ID: I20210722002305 |
Provider Name | Michael L Streeter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598334898 PECOS PAC ID: 0840694733 Enrollment ID: I20210816000650 |
Provider Name | Maximilian Psolka |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255441952 PECOS PAC ID: 6608921523 Enrollment ID: I20220621001874 |
Mailing Address | Practice Location Address |
---|---|
Rocky Mountain Eye Center Inc A Colorado Provider Network 27 Montebello Rd, Pueblo, CO 81001-1236 Ph: (719) 545-1530 | Rocky Mountain Eye Center Inc A Colorado Provider Network 27 Montebello Rd, Pueblo, CO 81001-1236 Ph: (719) 545-1530 |