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

Madison Street Provider Network, LLC

Organization Ophthalmology Physician · NPI 1932054681

Madison Street Provider Network, LLC is an Ophthalmology Physician in Aurora, 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

1421 S Potomac St Ste 130
Aurora, CO 80012-4511
Phone: (303) 377-2020
Fax: (303) 377-2022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1932054681
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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