Provider Demographics
NPI:1891073458
Name:UDDIN, KRISTINA MARIE (OD)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINA
Middle Name:MARIE
Last Name:UDDIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9499 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6532
Mailing Address - Country:US
Mailing Address - Phone:303-427-0872
Mailing Address - Fax:303-412-0619
Practice Address - Street 1:9499 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6532
Practice Address - Country:US
Practice Address - Phone:303-427-0872
Practice Address - Fax:303-412-0619
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2848152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist