Madison Street Provider Network, LLC
NPI 1154929602 · Ophthalmology Physician · Englewood, CO
Madison Street Provider Network, LLC is a Ophthalmology Physician organization in Englewood, CO (NPI 1154929602).
Provider details
- NPI number
- 1154929602
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Madison Street Provider Network, LLC
- Organization subpart
- Yes
- Authorized official
- George Neal, President(469) 214-0144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Omni Eye Specialists
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Frequently asked questions
- What is Madison Street Provider Network, LLC's NPI number?
- Madison Street Provider Network, LLC's National Provider Identifier (NPI) is 1154929602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Street Provider Network, LLC?
- Madison Street Provider Network, LLC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Madison Street Provider Network, LLC located?
- Madison Street Provider Network, LLC's practice location on file with NPPES is 125 Inverness Dr E Ste 200, Englewood, CO 80112-5138.
- What is Madison Street Provider Network, LLC's phone number?
- The practice phone number listed in the NPPES registry for Madison Street Provider Network, LLC is (303) 733-2020.
- Who is the authorized official for Madison Street Provider Network, LLC?
- The authorized official listed on Madison Street Provider Network, LLC's NPPES record is George Neal, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Street Provider Network, LLC's NPI active?
- Yes — Madison Street Provider Network, LLC's NPI (1154929602) is active in the NPPES registry as of the last update on 2020-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.