MADISON STREET PROVIDER NETWORK, LLC

ENGLEWOOD, CO
NPI1154929602
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 Date2020-10-15
Last Update Date2020-10-15
Business Address
MADISON STREET PROVIDER NETWORK, LLC
125 INVERNESS DR E STE 200
ENGLEWOOD, CO 80112-5138
Phone number: 303-733-2020
Mailing Address
MADISON STREET PROVIDER NETWORK, LLC
PO BOX 912914
DENVER, CO 80291-2914
Phone number: