Provider Demographics
NPI:1497162499
Name:PERKINS, JANETTE (OD)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 CITADEL DR E STE 2300
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5346
Mailing Address - Country:US
Mailing Address - Phone:719-596-1645
Mailing Address - Fax:
Practice Address - Street 1:750 CITADEL DR E STE 2300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5346
Practice Address - Country:US
Practice Address - Phone:719-596-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3182152W00000X
COOPT.0003199152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist