Healthcare Provider Details

I. General information

NPI: 1316091523
Provider Name (Legal Business Name): METROWEST EYE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MAX DR SUITE 101
CASTLE PINES CO
80108-9517
US

IV. Provider business mailing address

250 MAX DR SUITE 101
CASTLE PINES CO
80108-9517
US

V. Phone/Fax

Practice location:
  • Phone: 303-688-5066
  • Fax: 303-688-6986
Mailing address:
  • Phone: 303-688-5066
  • Fax: 303-688-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2238
License Number StateCO

VIII. Authorized Official

Name: DR. JASON TROY ORTMAN
Title or Position: OWNER/ OPTOMETRIST
Credential: OD
Phone: 303-688-5066