Organization · Type 2 NPI
Soco Ophthalmology LLC
Retina Specialist (Ophthalmology) Physician · Pueblo, CO
NPI number
1306644463
Active
Practice location
711 W Abriendo Ave
Pueblo, CO 81004-1559
Fax (719) 257-3959
Mailing address
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2 other providers at this address
About NPI 1306644463
Soco Ophthalmology LLC's National Provider Identifier is 1306644463, issued on Mar 5, 2025. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Pueblo, CO. The record was last updated on Oct 19, 2026.