Provider Demographics
NPI:1245912930
Name:SPRINGS EYE CONSULTANTS LLC
Entity type:Organization
Organization Name:SPRINGS EYE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:SBARBARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:719-204-5060
Mailing Address - Street 1:517 VISTA GRANDE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5825
Mailing Address - Country:US
Mailing Address - Phone:858-539-3937
Mailing Address - Fax:719-259-3122
Practice Address - Street 1:3470 CENTENNIAL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4091
Practice Address - Country:US
Practice Address - Phone:719-204-5060
Practice Address - Fax:719-259-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2024-03-04
Deactivation Date:2024-02-18
Deactivation Code:
Reactivation Date:2024-02-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory DiseaseGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1972781805OtherINDIVIDUAL NPI
CO05205034Medicaid
12018607OtherCAQH NUMBER
CODR.0057088OtherSTATE MEDICAL LICENSE
1780948893OtherINDIVIDUAL NPI