Organization
SOUTHERN COLORADO EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAY COZZETTA OD (OWNER)
(719) 542-3555
Entity
Organization
Contact information
Practice address
50 E HAHNS PEAK AVE STE C, PUEBLO WEST, CO 81007-3662
(719) 542-3555
(719) 542-0425
Mailing address
50 E HAHNS PEAK AVE STE C, PUEBLO WEST, CO 81007-3662
(719) 542-3555
(719) 542-0425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1347
CO
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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