Coco Eye Surgery Boulder, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COCO EYE SURGERY BOULDER, PLLC

Practice address

2575 Pearl St Ste 1C
Boulder, CO 80302-3851

Phone

(303) 442-6260

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Charlie Van Goetz

Title

Managing Director

Phone

(414) 531-6073

Specialties & licenses 1

Addresses

Other names 1

• Pearl Street Eye Doing business as

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1831734656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST STE 1C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023851",
            "telephone_number": "303-442-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST STE 1C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023851",
            "telephone_number": "303-442-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCO EYE SURGERY BOULDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "VAN GOETZ",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "414-531-6073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Street Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Lee Cobb, LPC
• Yasmina M. Cobrinik, LPCC, NCC, M.ED.
• Lisa Anne Sheldon Coburn, DDS
• Samuel Cochran, BSW
• Suzita Cochran, PHD
• Esme Cody, L.AC.
• Sarah Jane Coffey, LPCC
• Jeffrey Morris Coffman
• Carley Cohen-Fox, MSW LCSW CMC
• Ben Cohen, PH.D.

• Ophthalmology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.