Active NPI
Soco Ophthalmology LLC
- Retina Specialist (Ophthalmology) Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- Legal business name
- SOCO OPHTHALMOLOGY LLC
- Practice address
- 711 W Abriendo Ave
Pueblo, CO 81004-1559 - Phone
- (719) 257-3959
- Fax
- (719) 257-3959
- NPI assigned
- Mar 5, 2025
- Organization subpart
- Yes
- Parent organization
- SOCO OPHTHALMOLOGY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Stevenson
- Title
- DO
- Phone
- (719) 257-3959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | Primary |
Addresses
Primary practice location
711 W Abriendo Ave
Pueblo, CO 81004-1559
Mailing address
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Phone (719) 257-3959
Other names 1
- SoCo Eye Specialists
National Provider Directory
National Provider Directory- Tax ID family
- Soco Ophthalmology
- Part of
- Soco Ophthalmology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Colorado Springs, CO
- NPI 1942072194
Locations
5755 Mark Dabling Blvd
Ste 190
Colorado Springs, CO 80919
Phone (719) 257-3959
Ownership & related parties
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.
-
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Colorado Springs, CO
- NPI 1942072194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Colorado Springs, CO
- NPI 1780948893
Retina Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1306644463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 MARK DABLING BLVD STE 190",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192270",
"telephone_number": "719-257-3959",
"fax_number": "719-257-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W ABRIENDO AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041559",
"telephone_number": "719-257-3959",
"fax_number": "719-257-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCO OPHTHALMOLOGY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOCO OPHTHALMOLOGY LLC",
"enumeration_date": "2025-03-05",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "719-257-3959",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SoCo Eye Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.