Staci Perea Mcmullen in Colorado Springs - Optometrist

Staci Perea Mcmullen - NPI 1386639615

Staci Perea Mcmullen is a Optometrist in Colorado Springs, Colorado. Staci Perea Mcmullen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Staci Perea Mcmullen is 1386639615. The last update date is 2011-07-11.

Staci Perea Mcmullen's current location address is 6071 E Woodmen Rd, Colorado Springs, Colorado. You can contact this provider via phone number 7193806808 and fax number 7193805656. The mailing address for Staci Perea Mcmullen is 6071 E Woodmen Rd, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci Perea Mcmullen
Address 6071 E Woodmen Rd, Colorado Springs, Colorado
Phone Number 7193806808
Fax Number 7193805656
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1386639615
Provider Enumeration Date 2005-09-13
Last Updated Date 2011-07-11

Provider Mailing Address Detail

Address 6071 E Woodmen Rd
City Colorado Springs
State Colorado (CO)
Post Code 809232607
Phone Number 7193806808
Fax Number 7193805656

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2151
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
88427811 CO --

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FAQs about Staci Perea Mcmullen

What is the unique 10-digit identifier code assigned to Staci Perea Mcmullen by the Centers for Medicare & Medicaid Services?

The Staci Perea Mcmullen has been issued the NPI (National Provider Identifier) 1386639615 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Staci Perea Mcmullen is physically located?

The Staci Perea Mcmullen is physically situated at the following address: 6071 E Woodmen Rd, Colorado Springs, CO, 809232607.

What is the area of specialization for Staci Perea Mcmullen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Staci Perea Mcmullen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When was the Staci Perea Mcmullen's 1386639615 issued?

The Staci Perea Mcmullen's 1386639615 was issued on 2005-09-13.

When was the Staci Perea Mcmullen's information last updated?

The Staci Perea Mcmullen's information was last updated on 2011-07-11.

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