Edward J Golesh, OD
Individual provider Active NPI Optometrist · Centennial, CO
NPI 1982686002 · NPPES record last updated Mar 13, 2012
Key facts
- NPI
- 1982686002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1353 (CO)
- Practice address
- 7447 E Arapahoe Rd
Centennial, CO 80112-1200 - Phone
- (303) 770-8081
- Fax
- (303) 770-1642
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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, PC
Practice addresses (Care Compare)
7447 E Arapahoe Rd
Suite 6
Centennial, CO 80112-1200
Phone (303) 770-8081
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120427000268 | CO | Practitioner - Optometry | 1557250677 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1353 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare Centers, PC | Optometrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1353 | CO | Yes |
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
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.