PUEBLO CO OPHTHALMOLOGY ASC LLC
PUEBLO CO OPHTHALMOLOGY ASC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285608075, based in Pueblo, CO. It is classified under Ambulatory Surgical Clinic/Center.
Getting there
The practice address on file is 1402 FORTINO BLVD, Pueblo, CO 81008. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 208 | CO | Ambulatory Surgical Clinic/Center primary |
This provider holds licence 208 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Ambulatory Surgical Center
- PAC ID
- 4688742174
- Enrollment ID
- O20081010000390
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Ambulatory Surgical Center. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Ambulatory Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QA1903X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285608075 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 16, 2006 |
| Last updated | Sep 23, 2025 |
| Status | Active |
| Practice address |
1402 FORTINO BLVD Pueblo, CO 81008 (719) 583-8700 Fax (719) 583-9700 |
| Mailing address |
1A BURTON HILLS BLVD STE 300 Nashville, TN 37215 |
| Other identifiers |
90488032
· Medicaid (CO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 6 | 0 | 8 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 3 | 0 | 7 | 0 | 5 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.