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 1831796010

Madison Street Provider Network Inc is an Optometrist in Thornton, 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

10001 N Washington St
Thornton, CO 80229-2050
Phone: (303) 451-8075
Fax: (303) 457-9859
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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 number1831796010
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Street Provider Network Inc
Authorized official George Neal — President · (469) 214-0144
Other names Omni Eye Specialists
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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