Provider Demographics
NPI:1194552604
Name:CLOSER LOOK EYECARE, INC.
Entity type:Organization
Organization Name:CLOSER LOOK EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-827-9592
Mailing Address - Street 1:6036 SIMMS ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4440
Mailing Address - Country:US
Mailing Address - Phone:303-827-9592
Mailing Address - Fax:
Practice Address - Street 1:9400 RALSTON RD
Practice Address - Street 2:NEXT TO WALMART VISION CENTER
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002
Practice Address - Country:US
Practice Address - Phone:303-423-4814
Practice Address - Fax:303-420-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty