Organization Active NPI

Soco Ophthalmology LLC

  • Retina Specialist (Ophthalmology) Physician
  • Pueblo, CO
National Provider Identifier
1306644463
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Dr. Edward StevensonNPI 1780948893
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)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soco Ophthalmology2 organizations share this tax ID, including this one
Part of
Soco Ophthalmology

Other organizations with this tax ID 1

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

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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.