Provider Demographics
NPI:1013154855
Name:H LINDSAY WRIGHT O.D., P.C.
Entity Type:Organization
Organization Name:H LINDSAY WRIGHT O.D., P.C.
Other - Org Name:CARBON VALLEY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:H LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-833-1056
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80520-0050
Mailing Address - Country:US
Mailing Address - Phone:303-833-1056
Mailing Address - Fax:303-833-1057
Practice Address - Street 1:8110 COUNTY ROAD 13
Practice Address - Street 2:S-1
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6401
Practice Address - Country:US
Practice Address - Phone:303-833-1056
Practice Address - Fax:303-833-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty