Individual
DR. STACEY KRISTIN SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2525 S WADSWORTH BLVD, 101, LAKEWOOD, CO 80227-3273
(303) 986-5983
(303) 986-5473
Mailing address
2525 S WADSWORTH BLVD, 101, LAKEWOOD, CO 80227-3273
(303) 986-5983
(303) 986-5473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 2141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2670540
AETNA HMO
CO
05
—
74308718
—
CO
01
—
7520249
AETNA PPO
CO
Enumeration date
09/17/2006
Last updated
07/14/2010
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