MADISON STREET PROVIDER NETWORK INC (NPI# 1699768663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699768663 |
| Entity Type | Organization |
| Organization Name | MADISON STREET PROVIDER NETWORK INC |
| Other Organization Name | OMNI EYE SPECIALISTS |
| Practice Address |
55 Madison St Ste 355 Denver CO 80206-5429 |
| Practice Telephone | 3033772020 |
| Practice Fax Number | 3033772022 |
| Mailing Telephone | 3033772020 |
| Mailing Fax Number | 3033772022 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | GEORGE L NEAL (PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 4692140144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | CO | Eye and Vision Services Providers | |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04012274 | 05 | |
| CO | 12832278 | 05 |
| Other Name | Type Code |
|---|---|
| Omni Eye Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 606 S 4th Ave, Brighton, CO 806013202 | 3033772020 | |
| 10001 Washington St, Thornton, CO 802292050 | 3034518075 | |
| 1371 Hecla Dr Ste C, Louisville, CO 800272318 | 3033772020 | |
| 4103 Boardwalk Dr Unit 100, Fort Collins, CO 805255933 | 3033772020 | |
| 6881 S Yosemite St, Centennial, CO 801121406 | 3033772020 | 3033297165 |
| 125 Inverness Dr E Ste 200, Englewood, CO 801125138 | 3037332020 | 3033772022 |
| 1485 S Colorado Blvd Ste 220, Denver, CO 802223640 | 3033772020 | 3033772022 |
| 4 Garden Ctr Ste 100, Broomfield, CO 800207090 | 3033772020 | 3033772022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988994 | Madison Street Provider Network Inc | Ophthalmology | 606 South 4th Ave, Marchus Chiropractic Medical Office, Brighton, CO 80601-3202 | 2020-10-01 |
| 1033716212 | Madison Street Provider Network Inc | Optometrist | 1371 Hecla Dr Ste C, Louisville, CO 80027-2318 | 2020-10-01 |
| 1831796010 | Madison Street Provider Network Inc | Optometrist | 10001 N. Washington St., Thornton, CO 80229-2050 | 2020-10-01 |
| 1154928331 | Madison Street Provider Network Inc | Optometrist | 4103 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5933 | 2020-10-01 |
| 1194323444 | Madison Street Provider Network Inc | Optometrist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2020-10-09 |
| 1063019214 | Madison Street Provider Network Inc | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2020-10-01 |
| Street Address |
55 MADISON ST STE 355 |
| City | DENVER |
| State | CO |
| Zip Code | 80206-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323444 | Madison Street Provider Network Inc | Optometrist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2020-10-09 |
| 1669099263 | Alexander Saunders | Optometrist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2020-06-29 |
| 1285278341 | Theresa Ngoc Hoang | Optometrist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2019-11-01 |
| 1053833681 | Betty Bocong Zhang | Optometrist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2017-07-14 |
| 1003101627 | Kiok Cho | Nurse Practitioner | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2011-06-10 |
| 1992741961 | Eugene O Wiggs | Specialist | 55 Madison St Ste 355, Denver, CO 80206-5429 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038861 | Hca-healthone, LLC | Ophthalmology | 4999 E Kentucky Ave Ste 101, Denver, CO 80246-2280 | 2019-11-25 |
| 1316501406 | Michael Solomon Do LLC | Ophthalmology | 1601 E 19th Ave Ste 3450, Denver, CO 80218-1219 | 2019-04-24 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1366830960 | Charles Arnold II | Ophthalmology | 640 S University Blvd, Denver, CO 80209-3319 | 2015-01-05 |
| 1093158651 | Mariam Syed Ahmad | Ophthalmology | 777 Bannock St # Mc0156, Denver, CO 80204 | 2013-04-14 |
| 1487820593 | Delbert Weltman Md | Ophthalmology | 910 16th Street, Suite 630, Denver, CO 80202-2921 | 2008-05-08 |
| 1265603781 | Matthew M Kruger | Ophthalmology | 4999 E Kentucky Ave Ste 102, Denver, CO 80246 | 2008-03-13 |
| 1164608261 | Denver Retina Center PC | Ophthalmology | 4500 Cherry Creek Dr. S, Suite 102, Denver, CO 80246 | 2008-01-18 |
| 1386834315 | Ophthalmic Consultants of Colorado, Prof. LLC. | Ophthalmology | 3773 Cherry Creek North Dr Ste 140, Denver, CO 80209-3814 | 2007-07-26 |
| 1528195559 | Matthew C Sanderson | Ophthalmology | 10400 E. Alameda Ave, Denver, CO 80231 | 2007-02-27 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.