Colorado West Ophthalmology Assoc. PC

Organization Active NPI Ophthalmology Physician · Delta, CO

NPI 1265027437 · NPPES record last updated Mar 9, 2021

Key facts

NPI
1265027437
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
COLORADO WEST OPHTHALMOLOGY ASSOC. PC
Practice address
1426 Mesa View Dr
Delta, CO 81416-2400
Phone
(970) 874-8821
Fax
(970) 874-3472
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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207W00000X Yes

Addresses

Primary practice location

1426 Mesa View Dr
Delta, CO 81416-2400

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
CJ7703OtherCORAILROAD MEDICARE
98604OtherCOBLUE CROSS BLUE SHIELD
9000132032MedicaidCO

Other providers in Delta, CO

All providers in Delta, CO · Ophthalmology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.