NPI 1033716212

Madison Street Provider Network INC

Organisation Ophthalmology Physician Louisville, CO

Practice location

Address: 1371 Hecla Dr STE C, Louisville, CO 80027-2318
Phone: (303) 666-7226
Fax: (303) 665-3367
Mailing address: PO Box 912914, Denver, CO 80291-2914

Authorised official

Name: George L Neal
Title: President
Phone: (469) 214-0144

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Colorado →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Colorado →

Registry record

NPI: 1033716212
Entity type: Organization
NPI issued: 1 Oct 2020
Record last updated: 1 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.