Southern Colorado Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO1347 Issued in CO

Legal business name

SOUTHERN COLORADO EYE CARE

Practice address

50 E Hahns Peak Ave Ste C
Pueblo West, CO 81007-3662

Phone

(719) 542-3555

Fax

(719) 542-0425

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By 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

Dr. Michael Ray Cozzetta, ODNPI 1043277973

Title

Owner

Phone

(719) 542-3555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Jessica Ruxton, OD

  • Optometrist
  • Wichita, KS
  • NPI 1770145385

  CO

  Medicare reassignment Care Compare group NPD
• Derek Wayne Ashby, OD

  • Optometrist
  • Canon City, CO
  • NPI 1700048329
  Medicare reassignment Care Compare group
• Michael R. Cozzetta, O.D.

  • Optometrist
  • Pueblo, CO
  • NPI 1043277973
  Medicare reassignment Authorized official
• Domenic Cozzetta, OD

  • Optometrist
  • Pueblo, CO
  • NPI 1881242592
  Medicare reassignment NPD

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1376983924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAHNS PEAK AVE STE C",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073662",
            "telephone_number": "719-542-3555",
            "fax_number": "719-542-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAHNS PEAK AVE STE C",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073662",
            "telephone_number": "719-542-3555",
            "fax_number": "719-542-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "COZZETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-542-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eder Solano, DPT
• Solon Behavioral Health LLC (Solon Behavioral Health)
• Bonnie Lou Sommer, LPC
• Southern Colorado Clinic PC
• Southern Colorado Emergency Medical Associates (Southern Colorado Emergency Medical Associates, Parkview Pueblo West)
• Southern Colorado Hearing Associates, Inc.
• Lori Ann Spangler, FNP
• Michaeleen Kate Specht
• Valerie J Spencer
• Star Massage, LLC

• Optometrist in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.