NPIMap

Organization Active NPI

Eye Associates of Colorado Springs, PC

  • Ophthalmology Physician
  • Pueblo, CO
National Provider Identifier
1235802943
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF COLORADO SPRINGS, PC
Practice address
3707 Parker Blvd
Suite 100
Pueblo, CO 81008
Phone
(719) 471-2020
Fax
(719) 633-7379
NPI assigned
Jul 28, 2021
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Ashley Lynne Hernandez
Title
Coa
Phone
(719) 484-8218

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary
Cornea and External Diseases Specialist Physician 207WX0120X
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X

Addresses

Primary practice location

3707 Parker Blvd
Suite 100
Pueblo, CO 81008

Mailing address

2770 N Union Blvd Ste 240
Colorado Springs, CO 80909-1193
Phone (719) 471-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000339 CO Part B Supplier - Clinic/Group Practice 6305735952 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alamosa, CO; Buena Vista, CO; Colorado Springs, CO; Pueblo, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2263115Eye Associates of Co Springs3707 Parker Blvd, Pueblo, CO 81008Certificate of waiverJun 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates of Colorado Springs PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

10035 Pearl Pass Vw
Ste 200
Colorado Springs, CO 80924
Phone (719) 265-5663

3707 Parker Blvd
Pueblo, CO 81008
Phone (719) 471-2020

3707 Parker Blvd
Ste 100
Pueblo, CO 81008
Phone (719) 471-2020

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1235802943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091193",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PARKER BLVD",
            "address_2": "SUITE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF COLORADO SPRINGS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "COA",
        "authorized_official_telephone_number": "719-484-8218"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.