Organization Active NPI

Center for Eye Care & Surgery PC

  • Ophthalmology Physician
  • Pueblo, CO
National Provider Identifier
1316087117
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25573 Issued in CO
Legal business name
CENTER FOR EYE CARE & SURGERY PC
Practice address
1501 Court St
Pueblo, CO 81003-2720
Phone
(719) 546-3937
Fax
(719) 546-3940
NPI assigned
Feb 8, 2007
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
James B Fowler, MD
Title
President
Phone
(719) 546-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25573 CO Primary

Addresses

Primary practice location

1501 Court St
Pueblo, CO 81003-2720

Mailing address

1501 Court St
Pueblo, CO 81003-2720
Phone (719) 546-3937

Other identifiers 4

IdentifierTypeStateIssuer
1013121987OtherCOOPTICAL NPI
FO30501OtherCOBCBS GROUP
1912991514OtherCOJAMES B. FOWLER- NPI
04014601MedicaidCO

National Provider Directory

National Provider Directory

Locations

1501 Court St
Pueblo, CO 81003
Phone (719) 543-6755

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1316087117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-546-3937",
            "fax_number": "719-546-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-546-3937",
            "fax_number": "719-546-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EYE CARE & SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-546-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "25573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAL NPI",
            "identifier": "1013121987",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "FO30501",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES B. FOWLER- NPI",
            "identifier": "1912991514",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014601",
            "state": "CO"
        }
    ],
    "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 Jun 8, 2011; 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.