Eye Specialists of Colorado

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE SPECIALISTS OF COLORADO

Practice address

3245 International Cir
Colorado Springs, CO 80910-3152

Phone

(719) 633-8000

Fax

(719) 434-8855

NPI assigned

Dec 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles D McMahon, M.D.NPI 1639168735

Title

Owner/Eye Surgeon

Phone

(719) 440-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Charles D McMahon MD LLC Dba St Lukes Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eye Specialists of Colorado LLC

  • Specialist
  • Colorado Springs, CO
  • NPI 1811076466
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Dewey McMahon, M.D.

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1639168735
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144599044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809010280",
            "telephone_number": "719-633-8000",
            "fax_number": "719-434-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103152",
            "telephone_number": "719-633-8000",
            "fax_number": "719-434-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/EYE SURGEON",
        "authorized_official_telephone_number": "719-440-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89074572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Love Care Inc
• Eye Love Care Inc
• Eye Love Care Inc
• Eye Love Care Inc
• Eye Love Care Inc
• Eye Specialists of Colorado LLC
• Eyeland, P.C. (Citadel Vision Center)
• Eyeland, P.C. (Eagle Eyes Vision Center South)
• Eyeland, P.C. (Eagle Eyes Vision Center North)
• Eyemart Express LLC

• Ophthalmology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.