DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHERN COLORADO FAMILY EYE CARE, PC

MEDICARE: SOUTHERN COLORADO FAMILY EYE CARE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT-2215CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124083977
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN COLORADO FAMILY EYE CARE, PC
Provider Business Mailing Address
First Line : 727 S BEAR PAW LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-3220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6310 S US HIGHWAY 85-87
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1006
Country : US
Telephone Number : 719-391-2317
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JIRO KAMEOKA
Credential : O.D.
Telephone Number : 719-391-2317
Provider Enumeration Date : 04/17/2006
Last Update Date : 03/17/2017

Similar Medicare Providers

1952396707 — STEPHANIE L BESTWINA O.D.
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-391-2317
Practice Fax: 719-390-2947
1699730440 — DR. JIRO KAMEOKA O.D.
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-390-8649
Practice Fax:
1801814314 — WALMART INC.
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-391-1505
Practice Fax:
1265522411 — WAL-MART STORES, INC.
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-391-1700
Practice Fax:
1134782238 — DR. XIAOFEI WEN PHARMD
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-391-1505
Practice Fax:
1104489855 — MRS. JULIE KAY CROCFER RPH
Practice Location Address:
6310 S US HIGHWAY 85-87
FOUNTAIN, CO
80817-1006
Practice Phone: 719-391-1505
Practice Fax: 719-390-8987

Directions to “SOUTHERN COLORADO FAMILY EYE CARE, PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.