Madison Street Provider Network, LLC
NPI 1154929602ActiveOrganization· Ophthalmology· Englewood, CO
Ophthalmology in Englewood, Colorado, registered in NPPES in October 2020, part of Madison Street Provider Network, LLC. The authorized official on file is George L. Neal, President.
Overview
| NPI | 1154929602 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Madison Street Provider Network, LLC |
| NPI issued | Oct 15, 2020 |
| Last updated in NPPES | Oct 15, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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