AMEDCO COLORADO PLLC (NPI# 1306123096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306123096 |
| Entity Type | Organization |
| Organization Name | AMEDCO COLORADO PLLC |
| Other Organization Name | ST. LUKE'S EYE CARE & LASER CENTER |
| Practice Address |
1715 N Weber St #360 Colorado Springs CO 80907-7532 |
| Mailing Address |
8076 W Sahara Ave Las Vegas NV 89117-7930 |
| Practice Telephone | 7194714000 |
| Practice Fax Number | 7196326088 |
| Mailing Telephone | 8778810022 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | ERICA PERREIRA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8778810022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40322882 | 05 | |
| CO | UNITEDHEALTHCARE GROUP CONTRACT | 1306123096 | 01 |
| Other Name | Type Code |
|---|---|
| St. Luke's Eye Care & Laser Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457608341 | Amedco Colorado Pllc | Optometrist | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | 2012-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Amedco Colorado PLLC | 8076 W Sahara Ave, Las Vegas, NV 89117 |
| Street Address |
1715 N WEBER ST #360 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913250 | Larry D Dillon | Surgery | 1715 N Weber St, Ste 330, Colorado Springs, CO 80907 | 2005-06-22 |
| 1275998106 | Tanya Lynn Brewer | Nurse Practitioner | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2015-12-18 |
| 1194135657 | Jack Ford Md PC | Obstetrics & Gynecology | 1715 N Weber St, Suite 330, Colorado Springs, CO 80907-7532 | 2014-05-05 |
| 1588006530 | Nathan L. Brightwell, M.d,pc | Specialist | 1715 N Weber St, Suite 220, Colorado Springs, CO 80907-7532 | 2013-07-18 |
| 1902243553 | Dr William T Stone Pllc | Psychiatry & Neurology | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2013-05-22 |
| 1962794131 | Exela Hearing Services | Audiologist-Hearing Aid Fitter | 1715 N Weber St, Ste 360, Colorado Springs, CO 80907-7532 | 2011-05-06 |
| 1477852119 | John James Pappert | Hearing Instrument Specialist | 1715 N Weber St, Ste 360, Colorado Springs, CO 80907-7532 | 2011-03-21 |
| 1699077222 | Dr. Lewis E. Mock, Chiropractor, Inc. | Chiropractor | 1715 N Weber St, Suite 200, Colorado Springs, CO 80907-7532 | 2010-12-02 |
| 1023322039 | William Tyler Stone | Psychiatry & Neurology | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2010-08-02 |
| 1285877183 | A Glenn Shoptaugh Md PC | Pediatrics | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1609498906 | Simmons Eye Associates | Ophthalmology | 5278 N Nevada Ave Ste 120, Colorado Springs, CO 80918-8720 | 2020-05-11 |
| 1750790333 | W D Anderson Md PC | Ophthalmology | 3910 S Carefree Cir Ste A, Colorado Springs, CO 80917-3053 | 2014-08-07 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1013250240 | Stanford Connolly Taylor | Ophthalmology | 2770 N Union Blvd Ste 140, Colorado Springs, CO 80909 | 2013-04-06 |
| 1538423652 | Erik William Anderson | Ophthalmology | 320 E Fontanero St #201, Colorado Springs, CO 80907 | 2012-07-03 |
| 1730400292 | Scott T Jones | Ophthalmology | 1715 N Weber St Ste 200, Colorado Springs, CO 80907-7553 | 2010-06-18 |
| 1437280856 | Thomas C Hoyle IIi | Ophthalmology | 3237 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2007-03-08 |
| 1134229404 | John Merrill Christiansen | Ophthalmology | 555 E Pikes Peak Ave, Suite 102, Colorado Springs, CO 80903-3641 | 2006-09-25 |
| 1144239773 | Richard P Wetzig | Ophthalmology | 616 S Tejon St, Colorado Springs, CO 80903-4026 | 2006-08-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.