Active NPI
Goldenwood
Doing business as Avenue Vision/Bergen Park Vision
- Vision Therapy Optometrist
- Golden, CO
National Provider Identifier
1093774572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1109
- Legal business name
- GOLDENWOOD
- Doing business as
- Avenue Vision/Bergen Park Vision
- Practice address
- 1208 Washington Ave
Golden, CO 80401-1145 - Phone
- (303) 279-3713
- Fax
- (303) 273-5823
- NPI assigned
- Mar 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.