MADISON STREET PROVIDER NETWORK INC

FORT COLLINS, CO
NPI1154928331
Doing Business AsOMNI EYE SPECIALISTS
Entity TypeOrganization
Authorized ContactGEORGE L NEAL
President
469-214-0144
Organization Subpart ?Yes
Primary Taxonomy207W00000X Ophthalmology
Additional Taxonomies152W00000X Optometrist
Enumeration Date2020-10-01
Last Update Date2020-10-01
Business Address
MADISON STREET PROVIDER NETWORK INC
4103 BOARDWALK DR UNIT 100
FORT COLLINS, CO 80525-5933
Phone number: 303-393-8565
Mailing Address
MADISON STREET PROVIDER NETWORK INC
PO BOX 912914
DENVER, CO 80291-2914
Phone number: