OrganizationActive
Soco Ophthalmology LLC
NPI 1306644463 · Retina Specialist (Ophthalmology) Physician · Pueblo West, CO
Provider details
- NPI number
- 1306644463
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Soco Ophthalmology LLC
- Authorized official
- Edward Stevenson, Physician
Practice location
1021 N Market Plz
Pueblo West, CO 81007-1531
Phone: (719) 257-3959
Fax: (719) 257-3959
Mailing address
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.