Organization Active NPI

Goldenwood

  • Vision Therapy Optometrist
  • Golden, CO
National Provider Identifier
1093774572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1109 Issued in CO
Legal business name
GOLDENWOOD
Practice address
1208 Washington Ave
Golden, CO 80401-1145
Phone
(303) 279-3713
Fax
(303) 273-5823
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eva K. Strube, O.D.
Title
Optometrust
Phone
(303) 279-3713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 1109 CO Primary

Addresses

Primary practice location

1208 Washington Ave
Golden, CO 80401-1145

Mailing address

1208 Washington Ave
Golden, CO 80401-1145
Phone (303) 279-3713

Other names 1

  • Avenue Vision/Bergen Park Vision Doing business as

National Provider Directory

National Provider Directory

Locations

1208 Washington Ave
Golden, CO 80401
Phone (303) 279-3713

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093774572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011145",
            "telephone_number": "303-279-3713",
            "fax_number": "303-273-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011145",
            "telephone_number": "303-279-3713",
            "fax_number": "303-273-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRUBE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRUST",
        "authorized_official_telephone_number": "303-279-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Vision/Bergen Park Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.