| |
1715 N Weber St, #360, Colorado Springs, CO 80907-7532 | |
(719) 471-4000 | |
(719) 632-6088 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1715 N Weber St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306123096 | NPI | - | NPPES |
1306123096 | Other | CO | UNITEDHEALTHCARE GROUP CONTRACT |
40322882 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
8076 W Sahara Ave, Las Vegas, NV 89117-7930 Ph: (877) 881-0022 | 1715 N Weber St, #360, Colorado Springs, CO 80907-7532 Ph: (719) 471-4000 |