Colorado Springs Eye Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLORADO SPRINGS EYE SURGERY CENTER

Practice address

2920 N Cascade Ave
Suite 101
Colorado Springs, CO 80907-6262

Phone

(719) 636-5054

Fax

(719) 580-3576

NPI assigned

Apr 21, 2006

Last updated

Mar 11, 2011By 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

Tracie McDermott

Title

Patient Account Manager

Phone

(719) 636-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1386600104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-5054",
            "fax_number": "719-580-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-5054",
            "fax_number": "719-580-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "719-636-3937"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CO00357",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4510004",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490001964",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado Springs Doulas LLC (Colorado Springs Doulas)
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• Colorado Springs Emergency Dental Care USA Management Inc. (Emergency Denatl Care USA)
• Colorado Springs Endocrine Clinic PC
• Colorado Springs Eye Clinic PC
• Colorado Springs Group Health, LLC
• Colorado Springs Hearing Consultants, LLC
• Colorado Springs Ilf, LLC (Mountain View Independent Living)
• Colorado Springs Imaging LLC
• Colorado Springs Imaging LLC (Colorado Springs Imaging at Briargate)

• Ambulatory Surgical Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, 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 Mar 11, 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.