Madison Street Provider Network, LLC
Madison Street Provider Network, LLC is an Ophthalmology Physician in Englewood, 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.
Practice location Address checks out
10520 El Diente Ct Ste AEnglewood, CO 80112-2656
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 number | 1992650634 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Gross — Credentialing Manager · (303) 586-9390 |
| NPI enumerated | February 27, 2026 |
| Last updated in NPPES | February 27, 2026 |
| Certification date | February 27, 2026 |
| Mailing address | Po Box 912914, Denver, CO 80291-2914 |
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