ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK (NPI# 1336213610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336213610 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK |
| Practice Address |
27 Montebello Rd Pueblo CO 81001-1236 |
| Practice Telephone | 7195451530 |
| Practice Fax Number | 7195452899 |
| Mailing Telephone | 7195451530 |
| Mailing Fax Number | 7195452899 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | MR. DAVID ALDAG (ADMINISTRATOR) |
| Authorized Official Telephone | 7195451530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | U S DEPARTMENT OF LABOR | 608439600 | 01 |
| CO | ANTHEM BLUE CROSS BLUE SH | ROK2008 | 01 |
| CO | NATIONAL GOVERNMENT SERVICES | 1073567459 | 01 |
| CO | 04009478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411062 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Eyewear Supplier (Equipment, not the service) | 1801 Hospital Dr, Raton, NM 87740-2032 | 2007-03-06 |
| 1508928565 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 2509 Main St, Alamosa, CO 81101-2239 | 2006-12-15 |
| 1275695827 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2006-12-13 |
| 1740342708 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 515 E 1st St, Salida, CO 81201-2805 | 2006-12-15 |
| 1699837658 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 3954 Sandalwood Ln, Pueblo, CO 81005-2586 | 2006-12-15 |
| 1073567459 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-20 |
| Street Address |
27 MONTEBELLO RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295784916 | Eric E Blom | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-09 |
| 1427407287 | Nicholas Jordan Chariton | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2016-06-12 |
| 1184067308 | Scott Adler Butikofer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2013-04-08 |
| 1982814729 | Anak K Shrestha | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2007-05-23 |
| 1073567459 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-20 |
| 1164473682 | Michael W Coatney | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1073563573 | Cory W Smith | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1700836210 | Donald A Schlomer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1194775213 | Benton F Murphy | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-11 |
| 1366492480 | Paul D Rastrelli | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285919100 | Eyemart Express, Ltd. | Eyewear Supplier (Equipment, not the service) | 4420 N Freeway Rd, Pueblo, CO 81008-2062 | 2011-10-12 |
| 1861413916 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3301 Dillon Dr, Pueblo, CO 81008-1006 | 2006-07-22 |
| 1285650432 | Sowash Optometry Group PC | Eyewear Supplier (Equipment, not the service) | 4200 N Freeway Rd, 120, Pueblo, CO 81008-2153 | 2006-07-14 |
| 1952709768 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4420 N Freeway Rd, Pueblo, CO 81008-2062 | 2014-12-10 |
| 1285803999 | Vision Clinic, P.C. | Eyewear Supplier (Equipment, not the service) | 22 Club Manor Dr, Pueblo, CO 81008-1601 | 2008-02-27 |
| 1013121987 | Center for Eye Care & Surgery PC | Eyewear Supplier (Equipment, not the service) | 1501 Court St, Pueblo, CO 81003-2722 | 2007-05-10 |
| 1427104264 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3279 Dillon Dr, Pueblo Mall, Pueblo, CO 81008-1005 | 2007-01-26 |
| 1124115357 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3201 Dillon Dr, Pueblo Mall, Pueblo, CO 81003-2315 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049266 | Mbo Vision, Inc | Eyewear Supplier (Equipment, not the service) | 18148 W 92nd Ln, Suite 400, Arvada, CO 80007-8164 | 2020-09-24 |
| 1992311062 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6378 Promenade Pkwy # A100, Castle Rock, CO 80108-1910 | 2020-09-23 |
| 1013522010 | Western States Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1268 Interquest Pkwy Ste 120, Colorado Springs, CO 80921-4209 | 2020-09-15 |
| 1669006896 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1750 29th St Unit 1046, Boulder, CO 80301-1027 | 2020-02-26 |
| 1023651015 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14535 Delaware St, Westminster, CO 80023-9175 | 2019-10-22 |
| 1609426121 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1805 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-09-17 |
| 1174178016 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4765 Front St Ste D, Castle Rock, CO 80104-7938 | 2019-08-07 |
| 1588140180 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1805 Blake St Ste H-2, Denver, CO 80202-1227 | 2018-07-17 |
| 1780182618 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4918b Thompson Pkwy, Johnstown, CO 80534-6425 | 2018-01-25 |
| 1518475177 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3000 E 1st Ave Ste 168, Denver, CO 80206-5640 | 2018-01-17 |
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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.