Healthcare Provider Details

I. General information

NPI: 1245912930
Provider Name (Legal Business Name): SPRINGS EYE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date: 02/18/2024
Reactivation Date: 02/23/2024

III. Provider practice location address

3470 CENTENNIAL BLVD STE 105
COLORADO SPRINGS CO
80907-4091
US

IV. Provider business mailing address

517 VISTA GRANDE DR
COLORADO SPRINGS CO
80906-5825
US

V. Phone/Fax

Practice location:
  • Phone: 719-204-5060
  • Fax: 719-259-3122
Mailing address:
  • Phone: 858-539-3937
  • Fax: 719-259-3122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207WX0108X
TaxonomyUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES A SBARBARO JR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 719-204-5060