Provider Demographics
NPI:1376683037
Name:ROBISON, COLIN A (OD)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:A
Last Name:ROBISON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12081 W ALAMEDA PKWY
Mailing Address - Street 2:PMB 413
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2701
Mailing Address - Country:US
Mailing Address - Phone:720-272-4940
Mailing Address - Fax:303-274-4469
Practice Address - Street 1:7455 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5400
Practice Address - Country:US
Practice Address - Phone:303-274-4468
Practice Address - Fax:303-274-4469
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2242152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist