Active NPI
Goldenwood
- 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
- 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
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.
-
- Optometrist
- Golden, CO
- NPI 1356595375
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.