Individual
DR. PAUL D RASTRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578
Mailing address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01369990
—
CO
01
—
0452890001
MEDICARE DMERC
CO
01
—
180043214
RAILROAD MEDICARE
CO
01
—
343327601
NM MEDICARE
CO
05
—
343327601
—
NM
01
—
920717020820
EYE SPECIALISTS
CT
01
—
CO6999
EYE MED EYECARE
CO
01
—
K2189
FEDERAL BCBS
CO
01
—
NM009J51
BCBS NM
CO
01
—
RAK2189
BCBS NORTH DAKOTA
CO
Enumeration date
05/11/2006
Last updated
08/08/2024
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