Individual provider Active NPI

Edward J Golesh, OD

  • Optometrist
  • Centennial, CO
National Provider Identifier
1982686002
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1353 Issued in CO
Practice address
7447 E Arapahoe Rd
Centennial, CO 80112-1200
Phone
(303) 770-8081
Fax
(303) 770-1642
NPI assigned
Nov 15, 2005
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1353 CO Primary

Addresses

Primary practice location

7447 E Arapahoe Rd
Centennial, CO 80112-1200

Mailing address

7447 E Arapahoe Rd
Centennial, CO 80112-1200
Phone (303) 770-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000268 CO Practitioner - Optometry 1557250677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Centers, PCGroup PAC ID 3173412293, 8 clinicians

Practice addresses (Care Compare)

7447 E Arapahoe Rd
Suite 6
Centennial, CO 80112-1200
Phone (303) 770-8081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1353COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Centers, PC Optometrist CurrentSince Dec 17, 2001 Accepting new patients

Locations

1399 S Havana St
Ste 101
Aurora, CO 80012
Phone (303) 750-7621

7447 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 770-8081

7447 E Arapahoe Rd
Ste 6
Englewood, CO 80112
Phone (303) 770-8081

9695 S Yosemite St
Ste 100
Lone Tree, CO 80124
Phone (303) 944-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1982686002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121200",
            "telephone_number": "303-770-8081",
            "fax_number": "303-770-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121200",
            "telephone_number": "303-770-8081",
            "fax_number": "303-770-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLESH",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.