COCO EYE SURGERY BOULDER, PLLC (NPI# 1831734656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831734656 |
| Entity Type | Organization |
| Organization Name | COCO EYE SURGERY BOULDER, PLLC |
| Practice Address |
2575 Pearl St Ste 1c Boulder CO 80302-3851 |
| Practice Telephone | 3034426260 |
| Mailing Telephone | 3034426260 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MR. CHARLIE VAN GOETZ (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4145316073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pearl Street Eye | Doing Business As Name - Organization |
| Street Address |
2575 PEARL ST STE 1C |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083134431 | Kids Spectacle Shop | Technician/Technologist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2017-06-26 |
| 1336758184 | Children's Eye Physicians P.C. | Optometrist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| 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 |
|---|---|---|---|---|
| 1609891811 | Geeta Arjan Lalchandani-lalwani | Ophthalmology | 4430 Arapahoe Ave Ste 115, Boulder, CO 80303-1100 | 2006-07-12 |
| 1205834439 | Mark Packer | Ophthalmology | 1400 Bluebell Ave, Boulder, CO 80302-7834 | 2005-07-12 |
| 1366800856 | University Physicians Incorporated | Ophthalmology | 385 Broadway St, Boulder, CO 80305 | 2016-01-29 |
| 1598044463 | Marilyn Dougherty Md., PC. | Ophthalmology | 385 Broadway St, Boulder, CO 80305-3344 | 2011-08-10 |
| 1144509928 | William A Roberts Md., PC. | Ophthalmology | 385 Broadway St, Boulder, CO 80305-3344 | 2011-08-10 |
| 1790806644 | Donald J Keller Md PC | Ophthalmology | 4745 Arapahoe Ave, Suite 100, Boulder, CO 80303-1080 | 2007-04-02 |
| 1962546671 | John F Kloor | Ophthalmology | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2007-02-16 |
| 1639233919 | Niles F Utlaut | Ophthalmology | 1155 Alpine Ave, Ste 270, Boulder, CO 80304-3495 | 2006-12-20 |
| 1467497545 | Mohammad Karbassi, M.d., P.C. | Ophthalmology | 1155 Alpine Ave, #270, Boulder, CO 80304-3495 | 2006-06-20 |
| 1275570038 | Donald Joseph Keller | Ophthalmology | 4745 Arapahoe Ave, #100, Boulder, CO 80303-1080 | 2006-06-01 |
| Find all providers in BOULDER | ||||
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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.