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

Madison Street Provider Network, LLC

Organization Ophthalmology Physician · NPI 1700731445

Madison Street Provider Network, LLC is an Ophthalmology Physician in Golden, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 Indiana St Ste 220
Golden, CO 80401-5095
Phone: (303) 377-2020
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

Record details

NPI number1700731445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Gross — Credentialing Manager · (303) 586-9390
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing addressPo Box 912914, Denver, CO 80291-2914

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