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Organization

CENTER FOR EYE CARE & SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES B FOWLER MD (PRESIDENT)
(719) 546-3937
Entity
Organization

Contact information

Practice address
1501 COURT ST, PUEBLO, CO 81003-2720
(719) 546-3937
(719) 546-3940
Mailing address
1501 COURT ST, PUEBLO, CO 81003-2720
(719) 546-3937
(719) 546-3940

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25573
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04014601
CO
01
1013121987
OPTICAL NPI
CO
01
1912991514
JAMES B. FOWLER- NPI
CO
01
FO30501
BCBS GROUP
CO
Enumeration date
02/08/2007
Last updated
06/08/2011
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