Healthcare Provider Details

I. General information

NPI: 1972781805
Provider Name (Legal Business Name): JAMES ANDREW SBARBARO JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA103905
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2013-00499
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberDR.0057088
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberDR.0057088
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: