| Eagle Eyecare Pllc | |
|
5550 E Woodmen Rd Colorado Springs CO 80920-5257 | |
| (719) 531-5566 | |
| (719) 437-3460 |
| Full Name | Eagle Eyecare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5550 E Woodmen Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Stefan Matthew Kochis (OPTOMETRIST) |
| Authorized Official Contact | 7195315566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Eyecare Pllc 5550 E Woodmen Rd Colorado Springs CO 80920-5257 Ph: (719) 531-5566 | Eagle Eyecare Pllc 5550 E Woodmen Rd Colorado Springs CO 80920-5257 Ph: (719) 531-5566 |
| NPI Number | 1710614896 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 8527442250 |
|---|---|
| Medicare Enrollment ID | O20220830002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710614896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stefan M Kochis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326124686 PECOS PAC ID: 2062637804 Enrollment ID: I20220830003063 |
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