Provider Demographics
NPI:1376229443
Name:HAY, MADISON LYN (OD)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:LYN
Last Name:HAY
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 1:620 IVY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5342
Mailing Address - Country:US
Mailing Address - Phone:303-646-4046
Mailing Address - Fax:303-238-8527
Practice Address - Street 1:2290 KIPLING ST UNIT 1
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1546
Practice Address - Country:US
Practice Address - Phone:303-238-9900
Practice Address - Fax:303-238-8527
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003930152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist