Provider Demographics
NPI:1861552309
Name:FINCH, RAYMOND CRAIG (OD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CRAIG
Last Name:FINCH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1861 WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5225
Mailing Address - Country:US
Mailing Address - Phone:303-237-5401
Mailing Address - Fax:303-237-9638
Practice Address - Street 1:1861 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5225
Practice Address - Country:US
Practice Address - Phone:303-237-5401
Practice Address - Fax:303-237-9638
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1350152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08013500Medicaid
CO920363OtherBLOCK VISION
CO920363OtherBLOCK VISION
CO08013500Medicaid