Individual
HELEN R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9220 KIMMER DR, # 140, LONE TREE, CO 80124-2878
(303) 754-0122
(303) 754-3176
Mailing address
3722 S NEWPORT WAY, DENVER, CO 80237-1244
(303) 756-7514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT986
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08998692
—
CO
01
—
202414294
TAX ID
CO
Enumeration date
10/05/2006
Last updated
11/06/2013
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