| Southern Colorado Eye Care Associates Pc | |
|
1620 Fortino Blvd, Pueblo, CO 81008-1856 | |
| (719) 542-3555 | |
| Not Available |
| Full Name | Southern Colorado Eye Care Associates Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1620 Fortino Blvd, 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 |
|---|---|---|---|
| 1679744841 | NPI | - | NPPES |
| 1043277973 | Other | PROVIDER NPI | |
| 08013476 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Colorado) | Primary |
| Provider Name | Michael R Cozzetta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043277973 PECOS PAC ID: 3375439367 Enrollment ID: I20050922001163 |
| Provider Name | Derek W Ashby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700048329 PECOS PAC ID: 6608936190 Enrollment ID: I20081113000218 |
| Provider Name | Domenic Cozzetta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881242592 PECOS PAC ID: 7416383302 Enrollment ID: I20200213000649 |
| Provider Name | Jessica Ruxton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770145385 PECOS PAC ID: 7113349291 Enrollment ID: I20200618000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Colorado Eye Care Associates Pc 1620 Fortino Blvd, Pueblo, CO 81008-1856 Ph: (719) 542-3555 | Southern Colorado Eye Care Associates Pc 1620 Fortino Blvd, Pueblo, CO 81008-1856 Ph: (719) 542-3555 |
Dr Robert K Browder Optometrist Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 N Greenwood St, Ste F, Pueblo, CO 81003 Phone: 719-561-4365 Fax: 719-542-2140 | |
Hv Pueblo South Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1725 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-281-2633 | |
Dr. Michael R. Cozzetta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1620 Fortino Blvd, Pueblo, CO 81008 Phone: 719-542-3555 Fax: 719-542-0776 | |
Dr. Aaron Ransome & Associates P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1700 W Us Highway 50, Pueblo, CO 81008 Phone: 719-404-5000 | |
Dr. Dale Allen Knudson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 900 Indiana Ave, Suite # D, Pueblo, CO 81004 Phone: 719-561-2812 | |
Dr. Cory W Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 711 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-544-9494 | |
Rocky Mountain Eye Center Inc A Colorado Provider Network Optometrist Medicare: Medicare Enrolled Practice Location: 27 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-1530 Fax: 719-545-2899 |