SOUTHERN COLORADO EYE CARE
NPI 1376983924
Optometrist in Pueblo West, CO

Active since June 27, 2013
50 E HAHNS PEAK AVE STE C, PUEBLO WEST, CO 81007(719) 542-3555(719) 542-0425 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Colorado Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COLORADO EYE CARE (NPI 1376983924) is a healthcare organization registered as an optometrist in Pueblo West, Colorado and active in the NPI registry since June 2013. The organization lists Michael Ray Cozzetta, Owner, as its authorized official.

NPPES Registry Identity

NPI1376983924
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHERN COLORADO EYE CARE
Location Address50 E HAHNS PEAK AVE STE CPueblo West, CO 81007-3662
Mailing Address50 E Hahns Peak Ave Ste CPueblo West, CO 81007-3662 · (719) 542-3555 · Fax (719) 542-0425
Fax(719) 542-0425
Organization SubpartNo
Authorized OfficialMichael Ray CozzettaOwner · (719) 542-3555
Enumeration DateJune 27, 2013
✔ NPI 1376983924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · CO1347
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
50 E HAHNS PEAK AVE STE C, Pueblo West, CO 81007

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Colorado Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20131030001796Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Colorado Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1043277973
1620 FORTINO BLVD
Pueblo, CO 81008
(719) 542-3555
✔ PECOS✔ Accepts Medicare6.0 mi
Optometry
NPI 1881242592
1620 FORTINO BLVD
Pueblo, CO 81008
(719) 542-3555
✔ PECOS✔ Accepts Medicare6.0 mi
Optometry
NPI 1700048329
326 DOZIER AVE
Canon City, CO 81212
(719) 276-0344
✔ PECOS✔ Accepts Medicare26 mi
Optometry
NPI 1770145385
746 N MAIZE RD STE 100
Wichita, KS 67212
(316) 665-7647
✔ PECOS✔ Accepts Medicare399 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Colorado Eye Care's NPI number?

The NPI number for Southern Colorado Eye Care is 1376983924. It was assigned to this organization in the NPPES registry on June 27, 2013.

Where is Southern Colorado Eye Care located?

Southern Colorado Eye Care is located at 50 E Hahns Peak Ave Ste C, Pueblo West, CO 81007. The listed phone number is (719) 542-3555.

What is Southern Colorado Eye Care's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Southern Colorado Eye Care enrolled in Medicare?

Yes. Southern Colorado Eye Care is registered in the Medicare PECOS enrollment system.

When is Southern Colorado Eye Care's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southern Colorado Eye Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Southern Colorado Eye Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Colorado Eye Care accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Southern Colorado Eye Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Colorado Eye Care was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.