Provider Demographics
NPI:1285946459
Name:WINDHAM, LAUREN GOLDSMITH (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:GOLDSMITH
Last Name:WINDHAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1546 STACY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8721
Mailing Address - Country:US
Mailing Address - Phone:214-383-5400
Mailing Address - Fax:214-383-5203
Practice Address - Street 1:1129 WEDGE HILL RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5233
Practice Address - Country:US
Practice Address - Phone:540-761-1003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8590TG152W00000X
NC2331152W00000X
VA0618002274152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist