MADISON STREET PROVIDER NETWORK INC
NPI 1063019214
Ophthalmology in Centennial, CO

Active since October 01, 2020
6881 S YOSEMITE ST, CENTENNIAL, CO 80112(303) 733-2020(303) 377-2022 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Street Provider Network Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON STREET PROVIDER NETWORK INC (NPI 1063019214), doing business as Spivack Vision Center, is a healthcare organization registered as an ophthalmology in Centennial, Colorado and active in the NPI registry since October 2020. The organization lists George L Neal, President, as its authorized official.

NPPES Registry Identity

NPI1063019214
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMADISON STREET PROVIDER NETWORK INC
Location Address6881 S YOSEMITE STCentennial, CO 80112-1406
Mailing AddressPo Box 912914Denver, CO 80291-2914
Fax(303) 377-2022
Organization SubpartYes
Authorized OfficialGeorge L NealPresident · (469) 214-0144
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
NPI 1063019214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
6881 S YOSEMITE ST, Centennial, CO 80112

Other Names 1

Doing Business AsSpivack Vision Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Anesthesiologist Assistant
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist (Corneal and Contact Management)
6881 S YOSEMITE ST
CENTENNIAL, CO 80112
Optometrist (Corneal and Contact Management)
6881 S YOSEMITE ST
CENTENNIAL, CO 80112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Street Provider Network Inc's NPI number?

The NPI number for Madison Street Provider Network Inc is 1063019214. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Spivack Vision Center.

Where is Madison Street Provider Network Inc located?

Madison Street Provider Network Inc is located at 6881 S Yosemite St, Centennial, CO 80112. The listed phone number is (303) 733-2020.

What is Madison Street Provider Network Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Madison Street Provider Network Inc was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.