Pueblo Co Ophthalmology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

208 Issued in CO

Legal business name

PUEBLO CO OPHTHALMOLOGY ASC LLC

Doing business as

Rocky Mountain Laser & Surgery Center

Practice address

1402 Fortino Blvd
Pueblo, CO 81008-2033

Phone

(719) 583-8700

Fax

(719) 583-9700

NPI assigned

Feb 16, 2006

Last updated

Sep 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rocky Mountain Laser & Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Rocky Mountain Laser and Surgery CenterCCN 06C0001050

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 7

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.

• Eric E Blom, MD

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1295784916
  NPD (past)
• Scott Adler Butikofer, M.D.

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1184067308
  NPD (past)
• Michael W Coatney, D.O.

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1164473682
  NPD (past)
• Paul D Rastrelli, M.D.

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1366492480
  NPD (past)
• Donald A Schlomer, M.D.

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1700836210
  NPD (past)
• Nathan Rhodes Stevens, D.O.

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1801873401
  NPD (past)
• Sumana Kommana, MD

  • Ophthalmology Physician
  • Westminster, MD
  • NPI 1255782173
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1285608075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-263-4011",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082033",
            "telephone_number": "719-583-8700",
            "fax_number": "719-583-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO CO OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90488032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pueblo Care and Rehab
• Pueblo Chemical Agent-Destruction Pilot Plant
• Pueblo Co Caregiving LLC (Cornerstone Caregiving)
• Pueblo Community College
• Pueblo Community Connections
• Pueblo Community Connections Inc II
• Pueblo Community Health Center
• Pueblo Community Health Center

• Ambulatory Surgical Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.