Organization
COLORADO EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE MCDERMOTT (MANAGER)
(719) 636-3937
Entity
Organization
Contact information
Practice address
2920 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6262
(719) 636-3937
(719) 636-2241
Mailing address
2920 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6262
(719) 636-3937
(719) 636-2241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04074084
—
CO
01
—
CO07408
BLUE CROSS BLUE SHIELD
CO
Enumeration date
03/14/2006
Last updated
08/22/2020
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