Provider Demographics
NPI:1376906966
Name:WINDER, SAMANTHA JEAN (OD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:JEAN
Last Name:WINDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:550 THORNTON PKWY UNIT 222
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2168
Mailing Address - Country:US
Mailing Address - Phone:303-920-3937
Mailing Address - Fax:303-452-0065
Practice Address - Street 1:550 THORNTON PKWY UNIT 222
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2168
Practice Address - Country:US
Practice Address - Phone:303-920-3937
Practice Address - Fax:303-452-0065
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist