Provider Demographics
NPI:1922197540
Name:WRIGHT, H LINDSAY (OD)
Entity Type:Individual
Prefix:DR
First Name:H LINDSAY
Middle Name:
Last Name:WRIGHT
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:PO BOX 271269
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-5024
Mailing Address - Country:US
Mailing Address - Phone:720-389-5670
Mailing Address - Fax:
Practice Address - Street 1:3459 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3103
Practice Address - Country:US
Practice Address - Phone:720-389-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U99465Medicare UPIN
802173Medicare ID - Type Unspecified