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

Madison Street Provider Network Inc

Organization Optometrist · NPI 1063019214

Madison Street Provider Network Inc is an Optometrist in Centennial, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6881 S Yosemite St
Centennial, CO 80112-1406
Phone: (303) 733-2020
Fax: (303) 377-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1063019214
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Street Provider Network Inc
Authorized official George Neal — President · (469) 214-0144
Other names Spivack Vision Center
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing addressPo Box 912914, Denver, CO 80291-2914

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