Organization
RETINA CONSULTANTS OF SOUTHERN COLORADO P C
Active
Organization
RETINA CONSULTANTS OF SOUTHERN COLORADO P C
Active
Other names
Retina Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY BEAL (FRONT OFFICE MANAGER)
(719) 473-9595
Entity
Organization
Contact information
Practice address
10035 PEARL PASS VIEW, SUITE 110, COLORADO SPRINGS, CO 80924
(719) 473-9595
(719) 227-0669
Mailing address
10035 PEARL PASS VIEW, SUITE 110, COLORADO SPRINGS, CO 80924
(719) 473-9595
(719) 227-0669
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013250240
—
CO
05
—
67174787
—
CO
05
—
9000173749
—
CO
05
—
9000181814
—
CO
05
—
93008716
—
CO
05
—
97656372
—
CO
Enumeration date
06/11/2020
Last updated
06/11/2020
Update your record
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