Individual
CAITLYN ANNA LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1407 W 84TH AVE UNIT B8, DENVER, CO 80260-4753
(720) 214-4746
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003521
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT.0003521
CO OPTOMETRY LICENSE
CO
Enumeration date
08/15/2019
Last updated
08/15/2019
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