Provider Demographics
NPI:1710548904
Name:METROWEST EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:METROWEST EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:ORTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-688-5066
Mailing Address - Street 1:8585 W 14TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4860
Mailing Address - Country:US
Mailing Address - Phone:303-238-4357
Mailing Address - Fax:
Practice Address - Street 1:8585 W 14TH AVE STE C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4860
Practice Address - Country:US
Practice Address - Phone:303-238-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty