AMEDCO COLORADO PLLC (NPI# 1457608341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457608341 |
| Entity Type | Organization |
| Organization Name | AMEDCO COLORADO PLLC |
| Other Organization Name | LAKEWOOD EYE CLINIC |
| Practice Address |
1861 Wadsworth Blvd Lakewood CO 80214-5225 |
| Practice Telephone | 3032375401 |
| Practice Fax Number | 3032379638 |
| Mailing Telephone | 3032375401 |
| Mailing Fax Number | 3032379638 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | DR. DOUGLAS M CAMPBELL (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3032375401 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE AMEDCO CO PLLC PTAN | COAAA3088 | 01 |
| Other Name | Type Code |
|---|---|
| Lakewood Eye Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306123096 | Amedco Colorado Pllc | Optometrist | 1715 N Weber St, #360, Colorado Springs, CO 80907-7532 | 2011-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Amedco Colorado PLLC | 8076 W Sahara Ave, Las Vegas, NV 89117 |
| Street Address |
1861 WADSWORTH BLVD |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219066 | Douglas Martin Campbell | Specialist | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | 2005-07-20 |
| 1366850505 | Lakewood Eye Center, LLC | Ophthalmology | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | 2014-07-31 |
| 1861552309 | Raymond Craig Finch | Optometrist | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578030011 | Invision Eyecare Specialists | Ophthalmology | 1 State Route 70, Lakewood, NJ 08701-5895 | 2018-11-01 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1477064905 | Nj Eye Consultants | Ophthalmology | 101 Prospect St Ste 102, Lakewood, NJ 08701-5003 | 2017-10-24 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1386860575 | Marvin Isaac Gordon | Ophthalmology | 3300 E South St Ste 207, Lakewood, CA 90805-4549 | 2007-04-17 |
| 1962446690 | Jonathan Marc Barofsky | Ophthalmology | 1255 Route 70 Ste 31n, Lakewood, NJ 08701-5973 | 2006-06-15 |
| 1548219934 | Gregory A Kouyoumdjian | Ophthalmology | 2766 S Wadsworth Blvd., Lakewood, CO 80227 | 2006-05-10 |
| 1720049588 | Moshe M Rothkopf | Ophthalmology | 1195 Highway 70, Lakewood, NJ 08701-5946 | 2006-03-31 |
| 1164492591 | Fairview Eye Center | Ophthalmology | 16400 Hilliard Rd, Lakewood, OH 44107-5610 | 2006-01-26 |
| 1003897729 | Thomas P Cliffel | Ophthalmology | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2005-11-09 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.