# EAGLE EYECARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710614896
- **Authorized official:** DR. STEFAN MATTHEW KOCHIS OD (OPTOMETRIST)
- **Authorized official phone:** (719) 531-5566

## Contact information

- **Practice address:** 5550 E WOODMEN RD, COLORADO SPRINGS, CO 80920-5257
- **Practice address phone:** (719) 531-5566
- **Practice address fax:** (719) 437-3460
- **Mailing address:** 5550 E WOODMEN RD, COLORADO SPRINGS, CO 80920-5257
- **Mailing address phone:** (719) 531-5566
- **Mailing address fax:** (719) 437-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022