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MADISON STREET PROVIDER NETWORK INC
NPI 1154928331
Ophthalmology in Fort Collins, CO

Active since October 01, 2020
4103 BOARDWALK DR UNIT 100, FORT COLLINS, CO 80525(303) 393-8565(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 1154928331), doing business as Omni Eye Specialists, is a healthcare organization registered as an ophthalmology in Fort Collins, Colorado and active in the NPI registry since October 2020. The organization lists George L Neal, President, as its authorized official.

NPPES Registry Identity

NPI1154928331
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMADISON STREET PROVIDER NETWORK INC
Location Address4103 BOARDWALK DR UNIT 100Fort Collins, CO 80525-5933
Mailing AddressPo Box 912914Denver, CO 80291-2914
Phone(303) 393-8565
Fax(303) 377-2022
Organization SubpartYes
Authorized OfficialGeorge L NealPresident · (469) 214-0144
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1154928331 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
4103 BOARDWALK DR UNIT 100, Fort Collins, CO 80525
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Other Names 1

Doing Business AsOmni Eye Specialists

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

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

TOTAL VISION EYE CARE GROUP LLC
Ophthalmology
4103 BOARDWALK DR UNIT 100
FORT COLLINS, CO 80525
Larimer County (303) 377-2020

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 1154928331. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Omni Eye Specialists.

Where is Madison Street Provider Network Inc located?

Madison Street Provider Network Inc is located at 4103 Boardwalk Dr Unit 100, Fort Collins, CO 80525. The listed phone number is (303) 393-8565.

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.