Organization Active NPI

Soco Ophthalmology LLC

Doing business as SoCo Eye Specialists

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Colorado Springs, CO
National Provider Identifier
1942072194
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
Legal business name
SOCO OPHTHALMOLOGY LLC
Doing business as
SoCo Eye Specialists
Practice address
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Phone
(719) 257-3959
Fax
(719) 934-9657
NPI assigned
Oct 23, 2023
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Dr. Edward StevensonNPI 1780948893
Title
Physician
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X NU Primary

Addresses

Primary practice location

5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270

Mailing address

5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Phone (719) 257-3959

Other practice location 1

1021 N Market Plz
Pueblo West, CO 81007-1531
Phone (719) 257-3959

Other names 1

  • SoCo Eye Specialists Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estevenson@soco.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201003335 CO Part B Supplier - Clinic/Group Practice 1254784556 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO; Pueblo West, CO

National Provider Directory

National Provider Directory
Tax ID family
Soco Ophthalmology LLC2 organizations share this tax ID, including this one

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

1021 N Market Plz
Pueblo West, CO 81007
Phone (719) 257-3959

1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959

Interoperability endpoints

  • Direct secure messaging: estevenson@soco.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1942072194",
    "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": "5755 MARK DABLING BLVD STE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192270",
            "telephone_number": "719-257-3959",
            "fax_number": "719-934-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 N Market Plz",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810071531",
            "country_code": "US",
            "telephone_number": "719-257-3959",
            "fax_number": "719-257-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCO OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "719-257-3959",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estevenson@soco.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5755 Mark Dabling Blvd Ste 190",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809192270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SoCo Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.