Healthcare Provider Details

I. General information

NPI: 1275212409
Provider Name (Legal Business Name): LINDSAY SUE WILLIAMS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY CARROLL OD

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PRINTERS PKWY
COLORADO SPRINGS CO
80910-3190
US

IV. Provider business mailing address

1755 N EMERSON ST APT F
DENVER CO
80218-1039
US

V. Phone/Fax

Practice location:
  • Phone: 719-596-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberOPT4021
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: