Provider Demographics
NPI:1699200618
Name:EYE LEVEL OPTICAL
Entity Type:Organization
Organization Name:EYE LEVEL OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-688-3022
Mailing Address - Street 1:7437 VILLAGE SQUARE DR
Mailing Address - Street 2:UNIT 115
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-4600
Mailing Address - Country:US
Mailing Address - Phone:303-688-3022
Mailing Address - Fax:
Practice Address - Street 1:7437 VILLAGE SQUARE DR
Practice Address - Street 2:UNIT 115
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-4600
Practice Address - Country:US
Practice Address - Phone:303-688-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty