| Optom-eyes,llc | |
|
3585 Van Teylingen Dr Ste B Colorado Springs CO 80917-4872 | |
| (936) 443-4151 | |
| Not Available |
| Full Name | Optom-eyes,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3585 Van Teylingen Dr Ste B, Colorado Springs, Colorado |
| Authorized Official Name and Position | Amanda Walls (OWNER) |
| Authorized Official Contact | 9364434151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optom-eyes,llc 3585 Van Teylingen Dr Ste B Colorado Springs CO 80917-4872 Ph: (936) 443-4151 | Optom-eyes,llc 3585 Van Teylingen Dr Ste B Colorado Springs CO 80917-4872 Ph: (936) 443-4151 |
| NPI Number | 1619624632 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Medicare PECOS PAC ID | 2668850934 |
|---|---|
| Medicare Enrollment ID | O20220531000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619624632 | NPI | - | NPPES |
| 351521ZGYB | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John M Rabins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790756476 PECOS PAC ID: 1850280140 Enrollment ID: I20041129000692 |
| Provider Name | Gail E Saxerud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518080266 PECOS PAC ID: 1658350210 Enrollment ID: I20070919000815 |
| Provider Name | Amanda S Walls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073827531 PECOS PAC ID: 8921223975 Enrollment ID: I20140707001400 |
| Provider Name | Devin R Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720574544 PECOS PAC ID: 8224388020 Enrollment ID: I20180828003833 |
| Provider Name | Amber L Weimer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396392361 PECOS PAC ID: 8224455845 Enrollment ID: I20200827002792 |
| Provider Name | Anthony G Kohler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285259200 PECOS PAC ID: 1153710504 Enrollment ID: I20211105001461 |
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