Provider Demographics
NPI:1265882328
Name:BILLINGS, CECILIA SUONG (OD)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:SUONG
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:SUONG
Other - Last Name:DINH-NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8441 S YOSEMITE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2859
Mailing Address - Country:US
Mailing Address - Phone:303-768-8721
Mailing Address - Fax:303-768-8724
Practice Address - Street 1:8441 S YOSEMITE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2859
Practice Address - Country:US
Practice Address - Phone:303-768-8721
Practice Address - Fax:303-768-8724
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003213152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist