Provider Demographics
NPI:1952466930
Name:BEST IN SIGHT EYE CARE CENTERS
Entity Type:Organization
Organization Name:BEST IN SIGHT EYE CARE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-426-5550
Mailing Address - Street 1:101 W 84TH AVE
Mailing Address - Street 2:STE 240
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-4807
Mailing Address - Country:US
Mailing Address - Phone:303-426-5550
Mailing Address - Fax:303-426-1180
Practice Address - Street 1:101 W 84TH AVE
Practice Address - Street 2:STE 240
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-4807
Practice Address - Country:US
Practice Address - Phone:303-426-5550
Practice Address - Fax:303-426-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO813152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO388508Medicare ID - Type Unspecified