Individual
MRS. SUSAN HSIN MEI FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001026
VA
152W00000X
Optometrist
Primary
OPT.0002518
CO
152W00000X
Optometrist
TA1598
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018714
KAISER COMMERCIAL NUMBER
CO
05
—
88005038
—
CO
Enumeration date
01/12/2007
Last updated
10/30/2023
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