Organization
COLLEGIATE PEAKS EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L SCOTT O.D. (MANAGER)
(719) 581-4060
Entity
Organization
Contact information
Practice address
421 HWY 24 S, BUENA VISTA, CO 81211-3179
(719) 581-4060
(719) 631-2577
Mailing address
PO BOX 3179, BUENA VISTA, CO 81211-3179
(719) 581-4060
(719) 631-2577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46203770
—
CO
Enumeration date
08/12/2014
Last updated
06/23/2016
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