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Madison Street Provider Network Inc

NPI 1154928331ActiveOrganization· Ophthalmology· Fort Collins, CO

Ophthalmology in Fort Collins, Colorado, registered in NPPES in October 2020, part of Madison Street Provider Network Inc. The authorized official on file is George L. Neal, President.

Overview

NPI1154928331
StatusActive
Entity typeOrganization (subpart)
Parent organizationMadison Street Provider Network Inc
NPI issuedOct 1, 2020
Last updated in NPPESOct 1, 2020
Certified by providerOct 1, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X——
Optometrist152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Ophthalmology providers in Fort Collins

All Ophthalmology providers in Colorado →