| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2568 Taylor Ln, 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 |
|---|---|---|---|
| 1417461823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT0002072 (Colorado) | Primary |
| Provider Name | Steven A Loomis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063470144 PECOS PAC ID: 2163325564 Enrollment ID: I20100504000885 |
| Provider Name | Rozaliya Shimonova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922406933 PECOS PAC ID: 6709109374 Enrollment ID: I20150107000496 |
| Provider Name | Lee Shuwarger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306856141 PECOS PAC ID: 0143384156 Enrollment ID: I20180913001775 |
| Provider Name | Scott Bartlett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639458979 PECOS PAC ID: 4981875572 Enrollment ID: I20181015000212 |
| Provider Name | Jacqueline Carmen Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726315 PECOS PAC ID: 4587997473 Enrollment ID: I20190607001948 |
| Provider Name | Karen Mohar Sanghera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467884817 PECOS PAC ID: 0446477798 Enrollment ID: I20220302000637 |
| Provider Name | Van-anh Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20220302001065 |
| Provider Name | Philip Potts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952449837 PECOS PAC ID: 3375648660 Enrollment ID: I20220311000024 |
| Provider Name | Brian Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356436661 PECOS PAC ID: 1759316631 Enrollment ID: I20220322000249 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20220323001973 |
| Provider Name | Malay Pansheria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821471657 PECOS PAC ID: 4082904214 Enrollment ID: I20220401000396 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20230105002423 |
| Provider Name | Dana Hobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590403 PECOS PAC ID: 3779966551 Enrollment ID: I20230403001034 |
| Provider Name | Joseph Pruitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477752913 PECOS PAC ID: 8921187477 Enrollment ID: I20230414000908 |
| Provider Name | Dena Shahani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134533953 PECOS PAC ID: 8123404274 Enrollment ID: I20230506000317 |
| Provider Name | Priscilla Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235126129 PECOS PAC ID: 5092790592 Enrollment ID: I20230518003534 |
| Provider Name | Ronald Meeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194728188 PECOS PAC ID: 9032000286 Enrollment ID: I20230605000305 |
| Provider Name | Arpit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710595368 PECOS PAC ID: 1254729684 Enrollment ID: I20231004000736 |
| Provider Name | Ya Chun Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083274740 PECOS PAC ID: 7315370293 Enrollment ID: I20240425001076 |
| Provider Name | Alexandria Anthony Starr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649767492 PECOS PAC ID: 4082158043 Enrollment ID: I20240701003098 |
| Provider Name | Sidra Ahmad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366115206 PECOS PAC ID: 7911303888 Enrollment ID: I20241209003466 |
| Mailing Address | Practice Location Address |
|---|---|
2041 Pepper Ln, Pueblo, CO 81005-3276 Ph: (719) 696-9009 | 2568 Taylor Ln, Pueblo, CO 81005 Ph: (719) 733-3060 |
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 Fax: 719-230-0097 | |
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 |