Organization
CENTER FOR EYE CARE & SURGERY PC
Active
Organization
CENTER FOR EYE CARE & SURGERY PC
Active
Other names
Optical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B FOWLER M.D. (PRESIDENT)
(719) 546-3937
Entity
Organization
Contact information
Practice address
1501 COURT ST, PUEBLO, CO 81003-2722
(719) 546-3937
(719) 546-3940
Mailing address
1501 COURT ST, PUEBLO, CO 81003-2722
(719) 546-3937
(719) 546-3940
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
25573
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04014601
—
CO
01
—
1316087117
CENTER FOR EYE CARE NPI
CO
01
—
1912991514
JAMES B. FOWLER NPI
CO
Enumeration date
05/10/2007
Last updated
10/09/2007
Update your record
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