Individual
CAROLYN JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1255 19TH ST, STE 101, DENVER, CO 80202-1459
(720) 524-1001
(720) 524-1121
Mailing address
3900 E MEXICO AVE, STE 102, DENVER, CO 80210-3940
(720) 524-1001
(720) 524-1121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2062
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062
STATE LICENSE
CO
Enumeration date
08/31/2006
Last updated
07/20/2016
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