Healthcare Provider Details

I. General information

NPI: 1316109481
Provider Name (Legal Business Name): TOTAL VISION EYE CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MADISON ST STE 355
DENVER CO
80206-5429
US

IV. Provider business mailing address

PO BOX 200426
DALLAS TX
75320-0426
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-2020
  • Fax: 303-377-2022
Mailing address:
  • Phone: 720-524-1001
  • Fax: 720-524-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFF ABBATE
Title or Position: CFO
Credential:
Phone: 303-396-8920