Organization · Type 2 NPI

Madison Street Provider Network, LLC

Ophthalmology Physician · Englewood, CO

NPI number 1992650634 Active

Practice location

10520 El Diente Ct Ste A
Englewood, CO 80112-2656

Call (303) 377-2020 Map

Fax (303) 377-2022

Mailing address

PO Box 912914
Denver, CO 80291-2914

Specialties and licenses

TaxonomyCodeLicense
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 1992650634

Madison Street Provider Network, LLC's National Provider Identifier is 1992650634, issued on Feb 27, 2026. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Englewood, CO. The record was last updated on Feb 27, 2026.