Organization
EYE SPECIALISTS OF COLORADO LLC
Active
Other names
Charles D McMahon MD LLC dba St Lukes Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DEWEY MCMAHON MD (OWNEROPHTHALMOLOGIST)
(719) 633-8000
Entity
Organization
Contact information
Practice address
3245 INTERNATIONAL CIR STE 102, COLORADO SPRINGS, CO 80910-3152
(719) 633-8000
(719) 434-8855
Mailing address
PO BOX 280, COLORADO SPRINGS, CO 80901-0280
(719) 440-0058
(719) 636-3223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156F00000X
Technician/Technologist
—
—
174400000X
Specialist
Primary
—
—
207W00000X
Ophthalmology Physician
188
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015764
—
CO
Enumeration date
11/03/2006
Last updated
07/21/2022
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