Provider Demographics
NPI:1386271443
Name:DOWGIN, JAMES (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DOWGIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MADISON ST STE 355
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5429
Mailing Address - Country:US
Mailing Address - Phone:303-377-2020
Mailing Address - Fax:303-377-2022
Practice Address - Street 1:55 MADISON ST STE 355
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5429
Practice Address - Country:US
Practice Address - Phone:303-377-2020
Practice Address - Fax:303-377-2022
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003705152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist