MEDICARE: METROWEST EYE ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2238	CO

General Provider Information

NPI Number	:	1316091523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROWEST EYE ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	250 MAX DR
Second Line	:	SUITE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9517
Country	:	US
Telephone Number	:	303-688-5066
Fax Number	:	303-688-6986

Provider Business Practice Location Address
First Line	:	250 MAX DR
Second Line	:	SUITE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9517
Country	:	US
Telephone Number	:	303-688-5066
Fax Number	:	303-688-6986

Authorized Official
Title or Position	:	OWNER/ OPTOMETRIST
Name	:	DR. JASON TROY ORTMAN
Credential	:	OD
Telephone Number	:	303-688-5066

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	06/27/2019

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