Organization · Type 2 NPI

Madison Street Provider Network Inc

Ophthalmology Physician · Fort Collins, CO

NPI number 1154928331 Active

Practice location

4103 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5933

Fax (303) 377-2022

Mailing address

PO Box 912914
Denver, CO 80291-2914

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XNone listed
Ophthalmology Physician Primary 207W00000XNone listed

Ophthalmology Physician: 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,…

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About NPI 1154928331

Madison Street Provider Network Inc's National Provider Identifier is 1154928331, issued on Oct 1, 2020. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Oct 1, 2020.