Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Domenic Cozzetta, OD

Individual provider Optometrist · NPI 1881242592

Mr. Domenic Cozzetta, OD is an Optometry in Pueblo, Colorado. Qualified in 2019, 7 years ago. Practices with Southern Colorado Eye Care Associates PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1620 Fortino Blvd
Pueblo, CO 81008-1856
Phone: (719) 542-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 326 Dozier Ave, Canon City, CO 81212-2706 — (719) 276-0344

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3530 (CO)

Record details

NPI number1881242592
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern Colorado Eye Care Associates Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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