Colorado West Ophthalmology Assoc. PC

Organization Active NPI Optometrist · Montrose, CO

NPI 1063007235 · NPPES record last updated Mar 9, 2021

Key facts

NPI
1063007235
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
COLORADO WEST OPHTHALMOLOGY ASSOC. PC
Practice address
1800 E Pavilion PL Unit B
Montrose, CO 81401-5499
Phone
(970) 249-1210
Fax
(970) 249-3057
NPI assigned
Mar 9, 2021
Organization subpart
Yes
Parent organization (as reported)
COLORADO WEST OPHTHALMOLOGY ASSOC. PC

Authorized official

Name
Leticia C Ware
Title
Administrative Assistant
Phone
(970) 249-1210

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Co W Ophthalmology Assoc PC (4 organizations share this tax ID)
Part of
Co W Ophthalmology Assoc PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

1800 E Pavilion PL Unit B
Montrose, CO 81401-5499

Mailing address

1800 E Pavilion PL Unit B
Montrose, CO 81401-5499
Phone (970) 249-1210

Other identifiers

IdentifierTypeStateIssuer
CJ7703OtherCORAILROAD MEDICARE
9000132032MedicaidCO
98604OtherCOBLUE CROSS BLUE SHIELD

Other providers in Montrose, CO

All providers in Montrose, CO · Optometrist in Colorado

Sources for this page

Verify at the official NPI Registry.