Individual
JAMES F GEORGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 542-7325
(719) 542-6290
Mailing address
22 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 542-7325
(719) 542-6290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
754
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0438610001
MEDICARE DMERC
CO
01
—
410029089
RAILROAD MEDICARE
CO
Enumeration date
03/30/2006
Last updated
11/08/2011
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