Organization
COCO EYE SURGERY BOULDER, PLLC
Active
Organization
COCO EYE SURGERY BOULDER, PLLC
Active
Other names
Pearl Street Eye
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE VAN GOETZ (MANAGING DIRECTOR)
(414) 531-6073
Entity
Organization
Contact information
Practice address
2575 PEARL ST STE 1C, BOULDER, CO 80302-3851
(303) 442-6260
Mailing address
2575 PEARL ST STE 1C, BOULDER, CO 80302-3851
(303) 442-6260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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