{"result_count":1,"results":[{"addresses":[{"address_1":"2770 N UNION BLVD STE 140","address_purpose":"MAILING","address_type":"DOM","city":"COLORADO SPRINGS","country_code":"US","country_name":"United States","fax_number":"719-227-0669","postal_code":"809091183","state":"CO","telephone_number":"719-473-9595"},{"address_1":"3711 PARKER BLVD","address_purpose":"LOCATION","address_type":"DOM","city":"PUEBLO","country_code":"US","country_name":"United States","fax_number":"719-227-0669","postal_code":"810082278","state":"CO","telephone_number":"719-473-9595"}],"basic":{"authorized_official_first_name":"CHRISTINE","authorized_official_last_name":"BEAL","authorized_official_middle_name":"DARLENE","authorized_official_telephone_number":"7194739595","authorized_official_title_or_position":"Operations Director","certification_date":"2025-04-16","enumeration_date":"2019-10-30","last_updated":"2025-04-16","organization_name":"RETINA CONSULTANTS OF SOUTHERN COLORADO PLLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1572469418000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"01280791","issuer":null,"state":"CO"},{"code":"05","desc":"MEDICAID","identifier":"1013250240","issuer":null,"state":"CO"},{"code":"05","desc":"MEDICAID","identifier":"67174787","issuer":null,"state":"CO"},{"code":"05","desc":"MEDICAID","identifier":"9000173749","issuer":null,"state":"CO"},{"code":"05","desc":"MEDICAID","identifier":"93008716","issuer":null,"state":"CO"},{"code":"05","desc":"MEDICAID","identifier":"97656372","issuer":null,"state":"CO"}],"last_updated_epoch":"1744836000000","number":"1396389680","other_names":[],"practiceLocations":[{"address_1":"10035 PEARL PASS VW STE 110","address_purpose":"LOCATION","address_type":"DOM","city":"COLORADO SPRINGS","country_code":"US","country_name":"United States","fax_number":"719-227-0669","postal_code":"809248223","state":"CO","telephone_number":"719-473-9595"},{"address_1":"2770 N UNION BLVD STE 140","address_purpose":"LOCATION","address_type":"DOM","city":"COLORADO SPRINGS","country_code":"US","country_name":"United States","fax_number":"719-227-0669","postal_code":"809091183","state":"CO","telephone_number":"719-473-9595"}],"taxonomies":[{"code":"207W00000X","desc":"Ophthalmology","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"},{"code":"207WX0107X","desc":"Ophthalmology, Retina Specialist","license":null,"primary":false,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]}]}