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Individual

AUDREY LOIS DOCKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1315 N ACADEMY BLVD, COLORADO SPGS, CO 80909-3313
(719) 597-6987
(719) 597-7190
Mailing address
1315 N ACADEMY BLVD, COLORADO SPGS, CO 80909-3313
(719) 597-6987
(719) 597-7190

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO2264
CO
152WC0802X
Corneal and Contact Management Optometrist
CO2264
CO
152WP0200X
Pediatric Optometrist
CO2264
CO
152WS0006X
Sports Vision Optometrist
CO2264
CO
152WV0400X
Vision Therapy Optometrist
CO2264
CO

Other

Enumeration date
04/06/2007
Last updated
11/08/2018
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