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RETINA CONSULTANTS OF SOUTHERN COLORADO PLLC
NPI 1396389680
Ophthalmology in Pueblo, CO

Active since October 30, 2019CLIA Certified · 2 labs
3711 PARKER BLVD, PUEBLO, CO 81008(719) 473-9595(719) 227-0669 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2019, Oct 30, 2019 (2 updates tracked since 2019).

About Retina Consultants Of Southern Colorado Pllc NPPES

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

RETINA CONSULTANTS OF SOUTHERN COLORADO PLLC (NPI 1396389680) is a healthcare organization registered as an ophthalmology in Pueblo, Colorado and active in the NPI registry since October 2019. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Christine Darlene Beal, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1396389680
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS OF SOUTHERN COLORADO PLLC
Location Address3711 PARKER BLVDPueblo, CO 81008-2278
Mailing Address2770 N Union Blvd Ste 140Colorado Springs, CO 80909-1183 · (719) 473-9595 · Fax (719) 227-0669
Phone(719) 473-9595
Fax(719) 227-0669
Organization SubpartNo
Authorized OfficialChristine Darlene BealOperations Director · (719) 473-9595
Enumeration DateOctober 30, 2019
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1396389680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
3711 PARKER BLVD, Pueblo, CO 81008
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Secondary Practice Locations 2

Location 12770 N Union Blvd Ste 140Colorado Springs, CO 80909-1183 · Phone (719) 473-9595 · Fax (719) 227-0669
Location 210035 Pearl Pass Vw Ste 110Colorado Springs, CO 80924-8223 · Phone (719) 473-9595 · Fax (719) 227-0669

Other Identifiers 6

Medicaid93008716CO
Medicaid97656372CO
Medicaid01280791CO
Medicaid67174787CO
Medicaid9000173749CO
Medicaid1013250240CO

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2023205

Retina Consultants Of Southern Colorado PC · Colorado Springs, CO
Active · expires Apr 17, 2027
CLIA Number06D2023205
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorDr. James Luu
Laboratory Phone(719) 473-9595
Laboratory LocationRetina Consultants Of Southern Colorado PC2770 N Union Blvd Ste 140, Colorado Springs, CO 80909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2323187

Retina Consultants Of Southern Colorado PC · Pueblo, CO
Active · expires May 1, 2027
CLIA Number06D2323187
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorCecinio Ronquillo
Laboratory Phone(719) 473-9595
Laboratory LocationRetina Consultants Of Southern Colorado PC3719 Parker Blvd, Pueblo, CO 81008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Retina Consultants Of Southern Colorado PLLC's NPI number?

The NPI number for Retina Consultants Of Southern Colorado PLLC is 1396389680. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Retina Consultants Of Southern Colorado PLLC located?

Retina Consultants Of Southern Colorado PLLC is located at 3711 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 473-9595.

What is Retina Consultants Of Southern Colorado PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Retina Consultants Of Southern Colorado PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Retina Consultants Of Southern Colorado PLLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.