Individual
AMANDA S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9370 S COLORADO BLVD UNIT A4, HIGHLANDS RANCH, CO 80126-5206
(720) 344-2020
(303) 471-9200
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2691
CO
Other
Enumeration date
10/06/2008
Last updated
09/28/2020
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